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

Mr. Chadwycke Richard Smith, NP, AGACNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1902387293

Mr. Chadwycke Richard Smith, NP, AGACNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Regents of the University of Claifornia Univ Neursciences, a 71-clinician group and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
8
Licensed in
CA, NV
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1520 San Pablo St Ste 3800
Los Angeles, CA 90033-5328
Phone: (323) 442-5720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95009361 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 841328 (NV)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 841328 (NV)

Record details

NPI number1902387293
Entity typeIndividual (Type 1)
GenderMale
Credentials NP , AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Regents Of The University Of Claifornia Univ Neursciences — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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