JASON SMITH M.D. NPI 1073539177

NPI Information

NPI: 1073539177
Provider Name: JASON SMITH, M.D.
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Individual
PECOS Registration: Yes
Address: 11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-8311

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NPI Details

Jason Smith, M.D. is a diagnostic radiology radiology in Loma Linda, CA with 30 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jason Smith, M.D. NPI is 1073539177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-8311

The NPI 1073539177 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
Ultrasonic guidance for blood vessel access (HCPCS:76937)
Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch (HCPCS:36247)
Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
Needle biopsy of kidney (HCPCS:50200)
Ultrasonic guidance for needle placement (HCPCS:76942)
Replacement of kidney drainage tube using imaging guidance with review by radiologist (HCPCS:50435)
Placement of tube of kidney using imaging guidance with review by radiologist (HCPCS:50432)

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	A63611	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	H44187	MEDICARE UPIN
2	00A636110	MEDICARE ID-TYPE UNSPECIFIED
3	00A636110	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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