Individual provider Active NPI

David Smith, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1114902178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G31241 Issued in CA
Practice address
2230 Stockton Blvd
Sacramento, CA 95817-1419
Phone
(916) 734-2972
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G31241 CA Primary

Addresses

Primary practice location

2230 Stockton Blvd
Sacramento, CA 95817-1419

Mailing address

2230 Stockton Blvd
Sacramento, CA 95817-1419
Phone (916) 734-2972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061116000605 CA Practitioner - Psychiatry 3779581285 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shamynds TMS Brain-StimGroup PAC ID 2668982232, 6 clinicians

Practice addresses (Care Compare)

2012 19TH St
Suite 200
Sacramento, CA 95818-1668
Phone (916) 538-6498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cares Community Health CurrentSince Nov 20, 2010 Accepting new patients
Cares Community Health CurrentSince Nov 20, 2010 Accepting new patients
Shamynds Healing Center PC CurrentSince Sep 1, 2023 Accepting new patients
Shamynds TMS Brain-Stim CurrentSince Jun 1, 2025 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry Past Accepting new patients

Locations

2012 19th St
Ste 200
Sacramento, CA 95818
Phone (916) 538-6498

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

2012 19th St
Ste 100
Sacramento, CA 95818
Phone (916) 538-6498

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114902178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171419",
            "telephone_number": "916-734-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171419",
            "telephone_number": "916-734-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G31241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.