Individual provider Active NPI

Jordan Andrew Smith, MD

  • Pediatrics Physician
  • Temecula, CA
National Provider Identifier
1821678111
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A182611 Issued in CA
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

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613002102 CA Practitioner - Pediatric MedicinePractitioner - Diagnostic Radiology 7810354479 Reassigns benefits to 4 organizations

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
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

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

LicenseStateTypeSpecialty
A182611CAMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Pediatrics CurrentSince Jun 1, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation CurrentSince May 8, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Health Diagnostics of California a Professional Corporation CurrentSince May 8, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.