Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eden Ariel Smith, PA-C

Individual provider Physician Assistant · NPI 1417831231

Eden Ariel Smith, PA-C is a Physician Assistant in Los Angeles, California. Graduated from State University of New York at Stony Brook, School of Medicine in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone: (213) 413-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 555 E Hardy St, Inglewood, CA 90301-4011 — (310) 673-4660

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 66824 (CA)

Record details

NPI number1417831231
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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