David J Smith, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

GG599Z Issued in CA

Practice address

3703 Camino del Rio S
210
San Diego, CA 92108-4031

Phone

(619) 640-5555

Fax

(619) 640-5550

NPI assigned

Jun 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsmith81619@scrippshlth.medalliesdirect.net
• Direct secure messaging: david.smith@3578.securemail.prognocis.com
• Direct secure messaging: david.smith@1197.securemail.prognocis.com

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

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Las Vegas Comprehensive Pain Management Center PC

  • Durable Medical Equipment & Medical Supplies
  • Las Vegas, NV
  • NPI 1093380222

  Pain Medicine

  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1811930357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S",
            "address_2": "210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084031",
            "telephone_number": "619-640-5555",
            "fax_number": "619-640-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 CAMINO DEL RIO S",
            "address_2": "210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084031",
            "telephone_number": "619-640-5555",
            "fax_number": "619-640-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8930 W Sunset Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485042",
            "country_code": "US",
            "telephone_number": "702-463-8548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 W Main St",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922432211",
            "country_code": "US",
            "telephone_number": "760-482-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "GG599Z",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G667770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dan Sullivan Smith, M.D.
• Daniel M Smith, M.D.
• Danuse Smith, LMFT
• David A Smith, DDS FAGD
• David Albert Smith, M.D.
• David J. Smith, M.D.
• David Mitchell Smith III
• Deborah A Smith, RD
• Debra A. Smith, L.C.S.W.
• Delanie Smith

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.