Individual provider Active NPI

Elena M Dembo-Smeaton, M.D.

  • Family Medicine Physician
  • La Jolla, CA
National Provider Identifier
1184795296
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A82203 Issued in CA
Practice address
8950 Villa la Jolla Dr Ste C129
La Jolla, CA 92037-1707
Phone
(858) 450-5900
Fax
(858) 450-5903
NPI assigned
Nov 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A82203 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste C129
La Jolla, CA 92037-1707

Mailing address

7120 Rock Valley CT
San Diego, CA 92122-2737
Phone (858) 450-5900

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
I20110517000173 CA Practitioner - Family Practice 2961688585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Michaels M D IncGroup PAC ID 4082899984, 5 clinicians

Practice addresses (Care Compare)

8950 Villa la Jolla Dr
Suite C129
La Jolla, CA 92037-1707
Phone (858) 450-5900

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82203CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Michaels M D Inc Family Medicine CurrentSince Mar 6, 2011 Accepting new patients
Scripps Health Past Accepting new patients

Locations

8950 Villa La Jolla Dr
Ste C129
La Jolla, CA 92037
Phone (858) 450-5900

4520 Executive Dr
Ste 105
San Diego, CA 92121
Phone (858) 450-5900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1184795296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 ROCK VALLEY CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222737",
            "telephone_number": "858-450-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C129",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371707",
            "telephone_number": "858-450-5900",
            "fax_number": "858-450-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBO-SMEATON",
        "first_name": "ELENA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-11",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A82203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.