Individual provider Active NPI

David Gail Smith, M.D.

  • Orthopaedic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1962497636
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G37087 Issued in CA
Practice address
9900 Genesee Ave
Suite C
La Jolla, CA 92037-1210
Phone
(858) 453-8060
Fax
(858) 453-8260
NPI assigned
Sep 19, 2005
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G37087 CA Primary
Orthopaedic Hand Surgery Physician 207XS0106X G37087 CA

Addresses

Primary practice location

9900 Genesee Ave
Suite C
La Jolla, CA 92037-1210

Mailing address

4510 Executive Dr., Ste 125
San Diego, CA 92121-3054
Phone (858) 453-8060

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
I20080403000468 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 1456438282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37087CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
David G. Smith, M.D., a Professional Corporation Orthopaedic Surgery CurrentSince Jan 17, 2008 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9900 Genesee Ave
Ste C
La Jolla, CA 92037
Phone (858) 453-8060

4510 Executive Dr
Ste 125
San Diego, CA 92121
Phone (858) 678-0455

Interoperability endpoints

  • Direct secure messaging: dsmith55814@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1962497636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR., STE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213054",
            "telephone_number": "858-453-8060",
            "fax_number": "858-453-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 GENESEE AVE",
            "address_2": "SUITE   C",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371210",
            "telephone_number": "858-453-8060",
            "fax_number": "858-453-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "GAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G37087",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G37087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.