Active NPI
Bryanna Devinne Smith
- Social Worker
- Vista, CA
National Provider Identifier
1790384618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 129183
- Practice address
- 536 W Vista Way
Vista, CA 92083-5704 - Phone
- (760) 758-1650
- NPI assigned
- Oct 21, 2020
- Last updated
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | 129183 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
536 W Vista Way
Vista, CA 92083-5704
Mailing address
490 N Grape St
Escondido, CA 92025-3079
Phone (760) 975-9939
Other practice location 1
490 N Grape St
Escondido, CA 92025-3079
Phone (760) 975-9939
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129183 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1790384618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 N GRAPE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253079",
"telephone_number": "760-975-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 W VISTA WAY",
"city": "VISTA",
"state": "CA",
"postal_code": "920835704",
"telephone_number": "760-758-1650"
}
],
"practiceLocations": [
{
"address_1": "490 N Grape St",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920253079",
"country_code": "US",
"telephone_number": "760-975-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRYANNA",
"middle_name": "DEVINNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "129183",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.