DEAN W. SMITH, MD., A MEDICAL CORPORATION
NPI 1255112413
Family Medicine - Adult Medicine in Ventura, CA

Active since October 12, 2023CLIA 05D2305091 · Waiver
2755 LOMA VISTA RD, VENTURA, CA 93003(805) 477-9922(805) 477-9937 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dean W. Smith, Md., A Medical Corporation NPPES

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

DEAN W. SMITH, MD., A MEDICAL CORPORATION (NPI 1255112413) is a healthcare organization registered as an adult medicine in Ventura, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Deanna S Bacon, Manager, as its authorized official.

NPPES Registry Identity

NPI1255112413
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameDEAN W. SMITH, MD., A MEDICAL CORPORATION
Location Address2755 LOMA VISTA RDVentura, CA 93003-1544
Mailing Address2755 Loma Vista RdVentura, CA 93003-1544 · (805) 477-9922
Fax(805) 477-9937
Organization SubpartNo
Authorized OfficialDeanna S BaconManager · (805) 477-9922
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
NPI 1255112413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

2755 LOMA VISTA RD, Ventura, CA 93003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2305091

Dean W. Smith, M.D., A Medical Corporation · Ventura, CA
Active · expires May 22, 2028
CLIA Number05D2305091
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDean W. Smith
Laboratory Phone(805) 477-9922
Laboratory LocationDean W. Smith, M.D., A Medical Corporation2755 Loma Vista Rd, Ventura, CA 93003
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Pediatrics
2755 LOMA VISTA RD
VENTURA, CA 93003
Family Medicine
2755 LOMA VISTA RD
VENTURA, CA 93003
Urology
2755 LOMA VISTA RD
VENTURA, CA 93003
Specialist
2755 LOMA VISTA RD
VENTURA, CA 93003
Urology
2755 LOMA VISTA RD
VENTURA, CA 93003

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 Dean W. Smith, MD., A Medical Corporation's NPI number?

The NPI number for Dean W. Smith, MD., A Medical Corporation is 1255112413. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Dean W. Smith, MD., A Medical Corporation located?

Dean W. Smith, MD., A Medical Corporation is located at 2755 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 477-9922.

What is Dean W. Smith, MD., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Dean W. Smith, MD., A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2305091) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dean W. Smith, MD., A Medical Corporation was last updated on October 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.