Stephen Douglas Smith, DPM FACFAS

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E2588 Issued in CA

Practice address

14641 Newport Avenue
Suite 105
Tustin, CA 92780

Phone

(714) 991-3333

Fax

(714) 991-6059

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Studio City Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Studio City, CA
  • NPI 1437360849
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1124107925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR",
            "address_2": "SUITE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-991-3333",
            "fax_number": "714-991-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14641 NEWPORT AVENUE",
            "address_2": "SUITE 105",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "92780",
            "telephone_number": "714-991-3333",
            "fax_number": "714-991-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "DOUGLAS",
        "credential": "DPM FACFAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Slette, PT, DPT
• Pablo Guillermo Small
• Smith-Burke Podiatry
• Alma R. Smith
• David Herber George Smith, MD
• Tawni K Smith
• Snoozx-Ai
• Lindsay Snow, PHD
• So Cal Outpatient
• So Youn Min DDS Inc

• Foot & Ankle Surgery Podiatrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.