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SUZANNE SMITH RD
NPI 1174977870
Dietitian, Registered in San Diego, CA

Active since April 19, 2016
4520 EXECUTIVE DR, SUITE PLAZA 1, SAN DIEGO, CA 92121(619) 543-3133 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Suzanne Smith Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE SMITH RD (NPI 1174977870) is an individual dietitian, registered in San Diego, California, licensed in California (996140) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1174977870
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSUZANNE SMITHCredential: RD
Location Address4520 EXECUTIVE DR, SUITE PLAZA 1San Diego, CA 92121-3018
Mailing Address4520 Executive Dr, Suite Plaza 1San Diego, CA 92121-3018 · (844) 377-7678
Phone(619) 543-3133
Sole ProprietorNo
Enumeration DateApril 19, 2016
✔ NPI 1174977870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 996140
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4520 EXECUTIVE DR, San Diego, CA 92121
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Smith Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Suzanne Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California
8.8 mi
Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1003934803 (California), NPI 1225130677 (California)
  • 1,051 clinicians in this Medicare group
NPI 1487772380 (800) 926-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAVEEN GUPTA MD
Internal Medicine (Critical Care Medicine)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
SHARAN NEIMAN PHARMD
Pharmacist
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (925) 297-7254
DR. ERNEST WONG DDS
Dentist
4520 EXECUTIVE DR, SUITE 200
SAN DIEGO, CA 92121
San Diego County (858) 587-2828
ROYBAL MD CHEMICAL DEPENDENCE TREATMENT INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
4520 EXECUTIVE DR, SUITE 225
SAN DIEGO, CA 92121
San Diego County (858) 202-1822
INDRAJIT SENGUPTA PA-C
Physician Assistant (Medical)
4520 EXECUTIVE DR
SAN DIEGO, CA 92121
San Diego County (800) 926-8273
DR. ROBERT E KEARNEY MD
Surgery (Plastic and Reconstructive Surgery)
4520 EXECUTIVE DR, #150
SAN DIEGO, CA 92121
San Diego County (858) 677-9352
JOHN D ALEXANDER PT
Physical Therapist
4520 EXECUTIVE DR, STE 101
SAN DIEGO, CA 92121
San Diego County (858) 535-1894
MRS. ISIS BURAKOM RUTLEDGE LMT
Contractor
4520 EXECUTIVE DR, STE 225
SAN DIEGO, CA 92121
San Diego County (619) 323-4089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Smith's NPI number?

The NPI number for Suzanne Smith is 1174977870. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Suzanne Smith located?

Suzanne Smith practices at 4520 Executive Dr Suite Plaza 1, San Diego, CA 92121. The listed phone number is (619) 543-3133.

What is Suzanne Smith's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Suzanne Smith enrolled in Medicare?

Yes. Suzanne Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Suzanne Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Smith reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suzanne Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Suzanne Smith was last updated on April 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.