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MS. MARY HELEN SMITH F.N.P.
NPI 1649373200
Registered Nurse - Community Health in Culver City, CA

Active since September 07, 2006PECOS Enrolled
4700 INGLEWOOD BLVD, SUITE #102, CULVER CITY, CA 90230(310) 392-8630(310) 664-7426 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Mary Helen Smith F.n.p. NPPES

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

MS. MARY HELEN SMITH F.N.P. (NPI 1649373200) is an individual community health provider in Culver City, California, licensed in California (295050) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649373200
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMS. MARY HELEN SMITHCredential: F.N.P.
Location Address4700 INGLEWOOD BLVD, SUITE #102Culver City, CA 90230-5896
Mailing Address4700 Inglewood Blvd, Suite # 102Culver City, CA 90230-5896 · (310) 392-8636 · Fax (310) 664-7426
Phone(310) 392-8630
Fax(310) 664-7426
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateMarch 27, 2014
✔ NPI 1649373200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License✔ Licensed in CA · 295050
4700 INGLEWOOD BLVD, Culver City, CA 90230
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedWNP1913ECA
Medicare ID-Type UnspecifiedWNP1913CCA
Medicare ID-Type UnspecifiedWNP1913DCA
Medicare ID-Type UnspecifiedWNP1913BCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Mary Helen Smith F.n.p. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Venice Family Clinic
Same address
Federally Qualified Health Center (FQHC)
4700 INGLEWOOD BLVD, #102
Culver City, CA 90230
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1003842360 (310) 392-8636
Asian Pacific Health Care Venture, Inc.
10 mi
Community Health
1530 HILLHURST AVE
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1336208255 (323) 644-3880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD, #102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
LISA MOORE
Family Medicine
4700 INGLEWOOD BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
DR. ZARIN NASIR TEJANI MD
Pediatrics
4700 INGLEWOOD BLVD
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD, SUITE # 101
LOS ANGELES, CA 90230
Los Angeles County (310) 392-8636
VENICE FAMILY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 INGLEWOOD BLVD, #102
CULVER CITY, CA 90230
Los Angeles County (310) 392-8636

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 Mary Smith's NPI number?

The NPI number for Mary Smith is 1649373200. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Mary Smith located?

Mary Smith practices at 4700 Inglewood Blvd Suite #102, Culver City, CA 90230. The listed phone number is (310) 392-8630.

What is Mary Smith's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

Is Mary Smith enrolled in Medicare?

Yes. Mary Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Smith reassigns Medicare benefits to 2 organizations: Venice Family Clinic (Culver City, CA) and Asian Pacific Health Care Venture, Inc. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Smith was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.