GUSTAV SMITH MD
NPI 1376866442
Family Medicine in San Bernardino, CA
About Gustav Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUSTAV SMITH MD (NPI 1376866442) is an individual family medicine provider in San Bernardino, California, licensed in California (A108436) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gustav Smith Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Gustav Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN BERNARDINO, CA 92401
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 Gustav Smith's NPI number?
The NPI number for Gustav Smith is 1376866442. It was assigned to this individual provider in the NPPES registry on March 3, 2010.
Where is Gustav Smith located?
Gustav Smith practices at 665 N D St, San Bernardino, CA 92401. The listed phone number is (909) 708-8158.
What is Gustav Smith's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gustav Smith enrolled in Medicare?
Yes. Gustav Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Gustav Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gustav Smith reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Gustav 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 Gustav Smith was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gustav Smith, MD · NPI 1376866442
Family Medicine physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since March 3, 2010.
## Identity
- **NPI:** 1376866442 (Entity type: Individual)
- **Enumerated:** March 3, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A108436 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 665 N D ST, San Bernardino, CA 92401-1109
- **Phone:** (909) 708-8158 · **Fax:** (909) 888-3627
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376866442) · Data from the CMS NPPES public registry.