Active NPI
Joseph Howard Smart, M.D.
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1306894381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G077755
- Practice address
- 16950 Via Tazon
San Diego, CA 92127-1607 - Phone
- (858) 499-2701
- Fax
- (858) 521-2008
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G077755 | CA | Primary |
| Pediatrics Physician | 208000000X | 35-076473 | OH |
Addresses
Primary practice location
16950 Via Tazon
San Diego, CA 92127-1607
Mailing address
4194 Calle Mar de Ballenas
San Diego, CA 92130-2684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G777550 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G077755 | CA | MD | Pediatrics Physician |
| 35-076473 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Nationwide Children'S Hospital | Past | Accepting new patients |
Interoperability endpoints
- hsmart22366@sharphealthcare.direct-ci.com
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1306894381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4194 CALLE MAR DE BALLENAS",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16950 VIA TAZON",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921271607",
"telephone_number": "858-499-2701",
"fax_number": "858-521-2008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "JOSEPH",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G077755",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-076473",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G777550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.