Timothy Smith

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA67541 Issued in CA

Practice address

2390 Faraday Ave
Carlsbad, CA 92008-7216

Phone

(858) 909-0770

NPI assigned

Feb 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ritvik Mehta MD ApcGroup PAC ID 8022163286, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ritvik Mehta, MD Apc

  • Otolaryngology Physician
  • Carlsbad, CA
  • NPI 1538302997
  Medicare reassignment Care Compare group NPD
• Unm Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1831218627
  Medicare reassignment
• Unm Medical Group, Inc.

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1417330044
  NPD
• Carlos F Jimenez, MD

  • Otolaryngology Physician
  • Chula Vista, CA
  • NPI 1104914696
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1467589051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087216",
            "telephone_number": "858-909-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087216",
            "telephone_number": "858-909-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Oberlin Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211700",
            "country_code": "US",
            "telephone_number": "858-909-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39755 Date St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925632007",
            "country_code": "US",
            "telephone_number": "858-909-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "577 Third Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919105619",
            "country_code": "US",
            "telephone_number": "619-426-5181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Broadmoor Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871442100",
            "country_code": "US",
            "telephone_number": "505-994-7422",
            "fax_number": "505-994-7394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA67541",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2016-0025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Nicole Smith
• Sareena Smith
• Shana Smith
• Stacy Costopoulos Smith, LMFT
• Steffanie Ann Smith
• Amber Snider, MAPC, LPCC
• Ryan Ilysse Snodgrass, LMFT, LPCC
• Glenn Charles Snyders Jr., M.D.
• Samoel Soares
• Beth Sobel

• Medical Physician Assistant in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.