Individual provider Active NPI

Richard Colville Smith, MD

  • Infectious Disease Physician
  • Vista, CA
National Provider Identifier
1518979228
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A82752 Issued in CA
Practice address
122 Escondido Avenue
Suite 101
Vista, CA 92084-6055
Phone
(760) 806-9263
Fax
(760) 806-9264
NPI assigned
Aug 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Infectious Disease Physician 207RI0200X A82752 CA Primary

Addresses

Primary practice location

122 Escondido Avenue
Suite 101
Vista, CA 92084-6055

Mailing address

122 Escondido Avenue
Suite 101
Vista, CA 92084-6055
Phone (760) 806-9263

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
I20050610000342 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8022052026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

122 Civic Ctr Dr
Suite 101
Vista, CA 92084-6061
Phone (760) 806-9263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82752CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Colville Smith, M.D., Inc. Infectious Disease CurrentSince Jan 1, 2006 Accepting new patients
Scripps Health Current Accepting new patients
Felisa Velesrubio MD, a Professional Corporation Infectious Disease Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Scott a Eisman MD Inc PastSince Apr 27, 2021 Accepting new patients
Acute Care Associates, Inc Past Accepting new patients

Locations

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

122 Civic Center Dr
Ste 101
Vista, CA 92084
Phone (760) 806-9263

Interoperability endpoints

  • Direct secure messaging: rsmith43435@scrippshlth.medalliesdirect.net

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518979228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ESCONDIDO AVENUE",
            "address_2": "SUITE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846055",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ESCONDIDO AVENUE",
            "address_2": "SUITE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846055",
            "telephone_number": "760-806-9263",
            "fax_number": "760-806-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "middle_name": "COLVILLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A82752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.