Active NPI
Jordan Andrew Smith, MD
- Pediatrics Physician
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A182611
- Practice address
- 41238 Margarita Rd
Temecula, CA 92591-1805 - Phone
- (951) 676-4193
- NPI assigned
- Apr 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Sports Medicine Physician | 2080S0010X | A182611 | CA | |
| Pediatrics Physician | 208000000X | A182611 | CA | Primary |
Addresses
Primary practice location
41238 Margarita Rd
Temecula, CA 92591-1805
Mailing address
41238 Margarita Rd
Temecula, CA 92591-1805
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28780 Single Oak Dr
Suite 270
Temecula, CA 92590-5534
Phone (951) 676-4193
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182611 | CA | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Health Diagnostics of California a Professional Corporation | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Health Diagnostics of California a Professional Corporation | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Smi Imaging, LLC | Past | Accepting new patients | |
| UC San Diego Health - Rancho Family Medical Group | Past | Accepting new patients |
Locations
16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800
12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207
11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800
11441 Heacock St
Ste C
Moreno Valley, CA 92557
Phone (951) 247-5809
325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013
Interoperability endpoints
- jsmith373735@direct.llu.edu
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Temecula, CA
- NPI 1598791600
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Diagnostic Radiology Physician
- Mountain View, CA
- NPI 1104321959
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1194775122
-
- Pediatrics Physician
- Hesperia, CA
- NPI 1457680530
-
- Diagnostic Radiology Physician
- San Bernardino, CA
- NPI 1225669351
-
- Multi-Specialty Clinic/Center
- Temecula, CA
- NPI 1003385071
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1821678111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41238 MARGARITA RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925911805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41238 MARGARITA RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925911805",
"telephone_number": "951-676-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JORDAN",
"middle_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-10",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "CA",
"license": "A182611",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A182611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.