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Active NPI 1316388937 Individual Practitioner Male Practitioner

Charles E Smith , NURSE PRACTITIONER

Nurse Practitioner • Gardena, CA

Professional Overview & Biography Verified Profile Summary

Charles Smith, NURSE PRACTITIONER is a registered healthcare professional specializing in Nurse Practitioner in Gardena, CA. Practice services are available at 15803 S MAPLE AVE under active NPI credentials.

Frequently performed procedures and clinical services include dialysis services, dialysis services, per day, less than full month service (20 years or older), dialysis services, 2-3 physician visits per month (20 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15803 S Maple Ave

Gardena, CA 902482534

Telephone 3109184298
Fax 3105381650
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Gardena, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)
408 62 $390.00 $257.15
90970 Dialysis services, per day, less than full month service (20 years or older)
180 20 $15.08 $7.05
90961 Dialysis services, 2-3 physician visits per month (20 years or older)
119 54 $300.00 $216.68
99213 Established patient office or other outpatient visit, typically 15 minutes
33 27 $100.00 $67.62
36415 Insertion of needle into vein for collection of blood sample
21 19 $15.00 $2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
16 16 $180.00 $108.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
15 11 $120.00 $65.54
99335 Established patient assisted living visit, typically 25 minutes
12 12 $125.00 $85.91

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95005523

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Anna Smith

Nurse Practitioner

NPI 1053705533
Annel Charles

Student in an Organized Health Care Education/Training Program

NPI 1548998123

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active August 29, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2017

Registered at 15803 S MAPLE AVE, GARDENA, CA 902482534 (Tel: 3109184298)

📍
Updated Business Mailing Address August 29, 2017

Registered at 15803 SOUTH MAPLE AVE, GARDENA, CA 90248 (Tel: (310) 918-4298)

👤
Provider Name / Credentials Updated August 29, 2017

Recorded as CHARLES SMITH, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2017

Nurse Practitioner (License #95005523 in CA)

NPI Profile Active July 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2013

Registered at 3890 CRENSHAW BLVD, 229, LOS ANGELES, CA 90008 (Tel: 3232909910)

📍
Updated Business Mailing Address July 11, 2013

Registered at 3890 CRENSHAW BLVD, 229, LOS ANGELES, CA 90008 (Tel: 3232909910)

👤
Provider Name / Credentials Updated July 11, 2013

Recorded as CHARLES SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2013

Counselor

🟢
Initial NPI Registration & Enumeration July 11, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316388937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2013
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

15803 South Maple Ave

Gardena, CA 90248

Phone: 3109184298

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.