CAROLYN SMULLIN MD
NPI 1881334639
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 30, 2022PECOS Enrolled
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-9111 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn Smullin Md NPPES

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

CAROLYN SMULLIN MD (NPI 1881334639) is an individual student in an organized health care education/training program in Los Angeles, California, licensed in California (390200000X) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881334639
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLYN SMULLINCredential: MD
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-8358
Mailing Address2420 G StEureka, CA 95501-4150 · (707) 845-9947
Sole ProprietorNo
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
NPI 1881334639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

757 WESTWOOD PLZ, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolyn Smullin Md 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.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095

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 Carolyn Smullin's NPI number?

The NPI number for Carolyn Smullin is 1881334639. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Carolyn Smullin located?

Carolyn Smullin practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.

What is Carolyn Smullin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolyn Smullin enrolled in Medicare?

Yes. Carolyn Smullin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Smullin was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.