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PENSRI SMITHEDAJKUL
NPI 1528137809
Nurse Practitioner - Family in Los Angeles, CA

Active since November 08, 2006PECOS Enrolled
2411 N BROADWAY, LOS ANGELES, CA 90031(323) 987-2000(323) 987-1448 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pensri Smithedajkul NPPES

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

PENSRI SMITHEDAJKUL (NPI 1528137809) is an individual family provider in Los Angeles, California, licensed in California (16190) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528137809
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePENSRI SMITHEDAJKUL
Location Address2411 N BROADWAYLos Angeles, CA 90031
Mailing Address6000 N Figueroa StLos Angeles, CA 90042-4232 · (323) 254-5221 · Fax (323) 254-4618
Phone(323) 987-2000
Fax(323) 987-1448
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 3, 2018
✔ NPI 1528137809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 16190
2411 N BROADWAY, Los Angeles, CA 90031
Open in Google Maps ↗

Other Identifiers 1

Other16190CA · Nurse Practitioner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pensri Smithedajkul is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVELYN BRIDGET CRUZ SNEED DDS
Dentist (General Practice)
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 254-5291
DR. VICTORIA RACHELE ROSSI-CAMPAGNA O.D.
Optometrist
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2070
CAROLINA ANGELICA SAUCEDO FNP-BC
Nurse Practitioner (Family)
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
ANH HUU NGUYEN M.D.
Family Medicine
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
TERESIA MCCOLLISTER
Family Medicine
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
DR. DIALA FADDOUL MD
Pediatrics
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
NICOLE MORRISON DMD
Dentist
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
DR. HUGH BACH M.D.
Family Medicine
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000

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 Pensri Smithedajkul's NPI number?

The NPI number for Pensri Smithedajkul is 1528137809. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Pensri Smithedajkul located?

Pensri Smithedajkul practices at 2411 N Broadway, Los Angeles, CA 90031. The listed phone number is (323) 987-2000.

What is Pensri Smithedajkul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pensri Smithedajkul enrolled in Medicare?

Yes. Pensri Smithedajkul is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pensri Smithedajkul was last updated on August 3, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.