Active NPI
Richard Colville Smith, M.D., Inc.
- Infectious Disease Physician
- Vista, CA
National Provider Identifier
1043416076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- RICHARD COLVILLE SMITH, M.D., INC.
- Practice address
- 122 Escondido Ave
Suite 101
Vista, CA 92084-6055 - Phone
- (760) 806-9263
- Fax
- (760) 806-9264
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Colville Smith, M.D.
- Title
- Owner
- Phone
- (760) 806-9263
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
122 Escondido Ave
Suite 101
Vista, CA 92084-6055
Mailing address
122 Escondido Ave
Suite 101
Vista, CA 92084-6055
Phone (760) 806-9263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A827520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Vista, CA
- NPI 1518979228
-
- Infectious Disease Physician
- Vista, CA
- NPI 1043382104
-
- Infectious Disease Physician
- Vista, CA
- NPI 1962412981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425600000000",
"number": "1043416076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ESCONDIDO AVE",
"address_2": "SUITE 101",
"city": "VISTA",
"state": "CA",
"postal_code": "920846055",
"telephone_number": "760-806-9263",
"fax_number": "760-806-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 ESCONDIDO AVE",
"address_2": "SUITE 101",
"city": "VISTA",
"state": "CA",
"postal_code": "920846055",
"telephone_number": "760-806-9263",
"fax_number": "760-806-9264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD COLVILLE SMITH, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2015-03-06",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "COLVILLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-806-9263",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A827520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.