Collin Silas Smith, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5268 Issued in CA

Practice address

15706 Pomerado Rd Ste S-102
Poway, CA 92064

Phone

(858) 485-1494

NPI assigned

Oct 4, 2013

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seaside Foot and Ankle, Inc.Group PAC ID 5890052310, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: csmith61342@scrippshlth.medalliesdirect.net

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.

• Seaside Foot and Ankle, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Poway, CA
  • NPI 1326569708
  Medicare reassignment Care Compare group NPD Authorized official
• Coastal Wound Specialists

  dba Coastal Wound Specialists, Inc

  • Surgery Physician
  • Encinitas, CA
  • NPI 1346019254
  Medicare reassignment NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Toetal Health Solutions Ca PC

  • General Practice Physician
  • Vista, CA
  • NPI 1467328203
  NPD
• Matthew D Cooper a Professional Corporation

  • Surgery Physician
  • Encinitas, CA
  • NPI 1932805553
  NPD (past)
• Rady Children's Hospital San Diego

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1851303994
  NPD (past)
• Toe-Tal Family Footcare

  • Primary Podiatric Medicine Podiatrist
  • Las Vegas, NV
  • NPI 1821749615
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1801223896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD STE S-102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642067",
            "telephone_number": "760-390-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15706 POMERADO RD STE S-102",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-485-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7222 Columbine Dr",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920115112",
            "country_code": "US",
            "telephone_number": "760-390-2942",
            "fax_number": "619-331-3703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15644 Pomerado Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642418",
            "country_code": "US",
            "telephone_number": "760-390-2942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15644 Pomerado Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642418",
            "country_code": "US",
            "telephone_number": "760-390-2942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 S Hickory St Ste 118",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920254304",
            "country_code": "US",
            "telephone_number": "858-485-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLIN",
        "middle_name": "SILAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-04",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Simpson, M.S.,R.D.
• Emmalie B Sipe
• Skcay Enterprises Inc. (Gateway Therapy Center)
• Sara Slavin, RN
• Benjamin Millard Smith, P.T., D.P.T., A.T.C.
• Jashell Smith
• Jerrah Smith
• Mallory Behavior Smith
• Shellese Smith
• Peyton Lynn Smothers

• Foot & Ankle Surgery Podiatrist in Poway, CA
• Providers in Poway, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
• 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.