Individual provider Active NPI

Kara Smolinski, MD

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1710007026
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
177895 Issued in CA
Practice address
6605 Nancy Ridge Dr
San Diego, CA 92121-2253
Phone
(858) 900-2766
Fax
(858) 750-2984
NPI assigned
Mar 30, 2007
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.097237 OH
Dermatology Physician 207N00000X LT4235 NH
Pediatric Dermatology Physician 207NP0225X 35.097237 OH
Dermatology Physician 207N00000X 177895 CA Primary

Addresses

Primary practice location

6605 Nancy Ridge Dr
San Diego, CA 92121-2253

Mailing address

6605 Nancy Ridge Dr
San Diego, CA 92121-2253
Phone (858) 900-2766

Other practice location 1

2300 Southwood Dr
Nashua, NH 03063-1899
Phone (603) 577-4260

Other practice location 2

8250 Kenwood Crossing Way Ste 101
Cincinnati, OH 45236-3669
Phone (513) 745-5510

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220606001315 CA Practitioner - Dermatology 6002805686 Reassigns benefits to 1 organization
I20250422002876 NM Practitioner - Dermatology 6002805686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LT4235NHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David C Leech DO Inc PC CurrentSince Feb 15, 2025 Accepting new patients
Childrens Health Care Associates of New Jersey PC Past Accepting new patients
Radiology Associates of Children's Hospital, Inc Past Accepting new patients

Locations

101 Hospital Loop NE
Ste 114
Albuquerque, NM 87109
Phone (505) 888-7770

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17606/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1710007026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212253",
            "telephone_number": "858-900-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 NANCY RIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212253",
            "telephone_number": "858-900-2766",
            "fax_number": "858-750-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Southwood Dr",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631899",
            "country_code": "US",
            "telephone_number": "603-577-4260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8250 Kenwood Crossing Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452363669",
            "country_code": "US",
            "telephone_number": "513-745-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOLINSKI",
        "first_name": "KARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.097237",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "LT4235",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OH",
            "license": "35.097237",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "177895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.