Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ellyn Allyse Smith, MD

Individual provider Surgery Physician · NPI 1669887899

Dr. Ellyn Allyse Smith, MD is a General Surgery in Orange, California. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
12
Licensed in
CA, PA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 City Blvd W Ste 1600
Orange, CA 92868-5903
Phone: (714) 456-8598
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Ostrum St, Bethlehem, PA 18015-1000 — (484) 526-2255

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A160672 (CA)
Surgery Physician Taxonomy 208600000X · Licence MT206685 (PA)

Record details

NPI number1669887899
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2014
Last updated in NPPESDecember 30, 2024
Certification dateAugust 20, 2020
Mailing address185 Roseberry St, Farley Bldg 2nd Floor, Phillipsburg, NJ 08865-1690

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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