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Deactivated NPI 1225046162 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Wayne Smith , MD

Urology • Van Nuys, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 04, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Smith, MD was a registered Urology practicing in Van Nuys, CA. Throughout an active medical career spanning 16 years, Dr. Smith provided care at the practice location at 6819 SEPULVEDA BLVD until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

6819 Sepulveda Blvd
Suite 201

Van Nuys, CA 914054440

Telephone 8189976441
Fax 8189976451
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Van Nuys, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Van Nuys, CA (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CA G15304

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1295884625

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 6819 SEPULVEDA BLVD, SUITE 201, VAN NUYS, CA 914054440 (Tel: 8189976441)

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Updated Business Mailing Address July 08, 2007

Registered at 6819 SEPULVEDA BLVD, SUITE 201, VAN NUYS, CA 914054440 (Tel: 8189976441)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY SMITH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #G15304 in CA)

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Initial NPI Registration & Enumeration August 04, 2006

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: 1225046162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

6819 Sepulveda Blvd, Suite 201

Van Nuys, CA 914054440

Phone: 8189976441

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.