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

Individual provider Family Medicine Physician · NPI 1912096579

Glen Scott Smith, MD is a Family Practice in Orange, California. Graduated from St Louis College of Physicians and Surgeons in 1979, 47 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Trained at
St Louis College of Physicians and Surgeons
Licensed in
CA
In the registry since
2006
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

2501 E Chapman Ave
Orange, CA 92869-3204
Phone: (714) 633-1011
Fax: (714) 633-4883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G42987 (CA)

Record details

NPI number1912096579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address2501 E Chapman Ave, Orange, CA 92869-3204

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1979 (47 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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