Christian Robert Small, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A120383 Issued in CA

Practice address

215 S Hickory St Ste 114
Escondido, CA 92025-4360

Phone

(866) 905-9410

NPI assigned

Apr 9, 2012

Last updated

Oct 30, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Christian R Small MD a Professional Corporation

  dba Headlands Addiction Treatment Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1285213132
  Authorized official Same address or phone
• Akua Behavioral Health, Inc

  • Substance Abuse Rehabilitation Facility
  • Fair Oaks, CA
  • NPI 1205497500
  NPD (past)
• Akua Behavioral Health, Inc

  dba Akua Strong

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1811617442
  NPD (past)
• Bella Monte Recovery II LLC

  dba Bella Monte II LLC

  • Substance Abuse Rehabilitation Facility
  • Desert Hot Springs, CA
  • NPI 1083036602
  NPD (past)
• CDT Service Corporation

  dba New Dawn Treatment Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elk Grove, CA
  • NPI 1386389443
  NPD (past)
• CDT Service Corporation

  dba New Dawn Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Orangevale, CA
  • NPI 1548813009
  NPD (past)
• CDT Service Corporation

  dba New Dawn Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Lathrop, CA
  • NPI 1649075599
  NPD (past)
• CDT Service Corporation

  dba New Dawn Treatment Centers - Villa Ladera

  • Substance Abuse Rehabilitation Facility
  • Loomis, CA
  • NPI 1881735587
  NPD (past)
• CDT Service Corporation

  dba New Dawn Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Roseville, CA
  • NPI 1912702861
  NPD (past)
• CDT Service Corporation

  dba New Dawn Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Fair Oaks, CA
  • NPI 1992339451
  NPD (past)
• Hower Lodge, Inc.

  dba Hope Lodge

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Costa Mesa, CA
  • NPI 1518730506
  NPD (past)
• Hower Lodge, Inc.

  dba Hope Lodge

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Costa Mesa, CA
  • NPI 1528831518
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1740546209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST STE 114",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254360",
            "telephone_number": "866-905-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST STE 114",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254360",
            "telephone_number": "866-905-9410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4931 SE Anchor Ave",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349971907",
            "country_code": "US",
            "telephone_number": "561-414-2607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 Indian Prairie Loop",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MT",
            "postal_code": "598706523",
            "country_code": "US",
            "telephone_number": "888-616-5123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19067 W Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "IL",
            "postal_code": "625605053",
            "country_code": "US",
            "telephone_number": "866-309-1160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1128 Highway 21 E",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025884",
            "country_code": "US",
            "telephone_number": "844-215-4498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CHRISTIAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A120383",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A120383",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A120383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Marie Slayton-Lopez
• Julia A. Sledge
• Sleep Data Holdings LLC (BetterNight)
• Gabriela Arroyo Slutsky, MPH
• Alycia Small
• Alexander Lee Smith
• Bruce C Smith, D.M.D., M.S.
• Claudia Smith
• David Smith, ATC
• Jesseca Smith, OTD, OTR/L

• Psychiatry Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.