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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SMG MEDICAL PRACTICE GROUP PC
NPI 1245143882
Internal Medicine in Cerritos, CA

Active since September 24, 2026CLIA 05D0944027 · Waiver
11911 ARTESIA BLVD STE 101, CERRITOS, CA 90701(562) 402-7622 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Smg Medical Practice Group Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMG MEDICAL PRACTICE GROUP PC (NPI 1245143882) is a healthcare organization registered as an internal medicine in Cerritos, California and active in the NPI registry since September 2026. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Richard Park, Owner/ Ao, as its authorized official.

NPPES Registry Identity

NPI1245143882
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSMG MEDICAL PRACTICE GROUP PC
Location Address11911 ARTESIA BLVD STE 101Cerritos, CA 90701-4070
Mailing Address520 S Virgil Ave Ste 507Los Angeles, CA 90020-1452 · (213) 480-7770
Phone(562) 402-7622
Organization SubpartYes
Authorized OfficialRichard ParkOwner/ Ao · (999) 999-9999
Enumeration DateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1245143882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
11911 ARTESIA BLVD STE 101, Cerritos, CA 90701
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0944027

Smg Medical Practice Group, PC · Los Angeles, CA
Active · expires Apr 6, 2028
CLIA Number05D0944027
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorEvan Kim
Laboratory Phone(213) 480-7770
Laboratory LocationSmg Medical Practice Group, PC520 S Virgil Ave Ste 507, Los Angeles, CA 90020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smg Medical Practice Group PC's NPI number?

The NPI number for Smg Medical Practice Group PC is 1245143882. It was assigned to this organization in the NPPES registry on September 24, 2026.

Where is Smg Medical Practice Group PC located?

Smg Medical Practice Group PC is located at 11911 Artesia Blvd Ste 101, Cerritos, CA 90701. The listed phone number is (562) 402-7622.

What is Smg Medical Practice Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Smg Medical Practice Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0944027) is associated with this NPI, valid through April 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smg Medical Practice Group PC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.