SMG MEDICAL PRACTICE GROUP PC
NPI 1710660659
Internal Medicine in Los Angeles, CA
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 1710660659) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Richard Park, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Smg Medical Practice Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Smg Medical Practice Group PC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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 1710660659. It was assigned to this organization in the NPPES registry on August 8, 2023.
Where is Smg Medical Practice Group PC located?
Smg Medical Practice Group PC is located at 520 S Virgil Ave Ste 507, Los Angeles, CA 90020. The listed phone number is (000) 000-0000.
What is Smg Medical Practice Group PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Smg Medical Practice Group PC enrolled in Medicare?
Yes. Smg Medical Practice Group PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Smg Medical Practice Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Smg Medical Practice Group PC. A 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 the clinician's services. The largest specialties are Internal Medicine (8), Family Practice (3) and Emergency Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Smg Medical Practice Group PC accept?
Health plans from WellSense Health Plan list Smg Medical Practice Group PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 30 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.
# Smg Medical Practice Group Pc · NPI 1710660659
Internal Medicine organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 8, 2023.
## Identity
- **NPI:** 1710660659 (Entity type: Organization)
- **Enumerated:** August 8, 2023
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Richard Park, OWNER
## Practice location
- **Address:** 520 S VIRGIL AVE STE 507, Los Angeles, CA 90020-1452
- **Phone:** (000) 000-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (8), Family Practice (3), Emergency Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710660659) · Data from the CMS NPPES public registry.