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MR. JERROLD SMITH
NPI 1871108258
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since September 11, 2020
11900 AVALON BLVD, LOS ANGELES, CA 90061(323) 242-0500 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jerrold Smith NPPES

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

MR. JERROLD SMITH (NPI 1871108258) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1871108258
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JERROLD SMITH
Location Address11900 AVALON BLVDLos Angeles, CA 90061-2866
Mailing Address11900 Avalon BlvdLos Angeles, CA 90061-2866 · (323) 242-0500
Phone(323) 242-0500
Sole ProprietorYes
Enumeration DateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1871108258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
11900 AVALON BLVD, Los Angeles, CA 90061
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

LARRY U NWAFOR SR. NP
Nurse Practitioner (Family)
11900 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 756-1317
MR. LUIS RABAGO
Counselor (Addiction (Substance Use Disorder))
11900 AVALON BLVD, SUITE 200
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500
SAMMY LOZANO
Counselor (Addiction (Substance Use Disorder))
11900 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500
IJEOMA OGBONNIA
Nurse Practitioner (Family)
11900 AVALON BLVD, # 100
LOS ANGELES, CA 90061
Los Angeles County (310) 679-1947
KEIYANA JANAE BLACKWELL LVN
Licensed Vocational Nurse
11900 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500
THE PAJO CORPORATION
Clinic/Center (Rehabilitation, Substance Use Disorder)
11900 AVALON BLVD, SUITE 200
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500
VANESSA MARTINEZ HALL NP
Nurse Practitioner (Family)
11900 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 756-1317
MS. JACQUELINE DEPPISCH BA
Counselor (Addiction (Substance Use Disorder))
11900 AVALON BLVD
LOS ANGELES, CA 90061
Los Angeles County (323) 242-0500

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 Jerrold Smith's NPI number?

The NPI number for Jerrold Smith is 1871108258. It was assigned to this individual provider in the NPPES registry on September 11, 2020.

Where is Jerrold Smith located?

Jerrold Smith practices at 11900 Avalon Blvd, Los Angeles, CA 90061. The listed phone number is (323) 242-0500.

What is Jerrold Smith's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jerrold Smith was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.