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KEVIN S. SMITH, M.D.
NPI 1639184344
Anesthesiology - Pain Medicine in San Diego, CA

Active since July 30, 2006CLIA 05D1106103 · Waiver
7525 LINDA VISTA RD STE C, SAN DIEGO, CA 92111(619) 398-2988(619) 398-2987 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2024, Sep 21, 2018, Aug 14, 2017 (3 updates tracked since 2017).

About Kevin S. Smith, M.d. NPPES

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

KEVIN S. SMITH, M.D. (NPI 1639184344) is a healthcare organization registered as a pain medicine in San Diego, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists Kevin S Smith, President, as its authorized official.

NPPES Registry Identity

NPI1639184344
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameINTEGRATED PAIN SPECIALISTS OF SOUTHERN CALIFORNIA, INC.
Location Address7525 LINDA VISTA RD STE CSan Diego, CA 92111-5344
Mailing Address7525 Linda Vista Rd Ste CSan Diego, CA 92111-5344 · (619) 398-2988 · Fax (619) 398-2987
Phone(619) 398-2988
Fax(619) 398-2987
Organization SubpartNo
Authorized OfficialKevin S SmithPresident · (619) 398-2988
Enumeration DateJuly 30, 2006
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1639184344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
7525 LINDA VISTA RD STE C, San Diego, CA 92111
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Other Names 1

Doing Business AsKevin S. Smith, M.d.

Other Identifiers 1

OtherG70647CA · Physician Medical License

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin S. Smith, M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20070502000609Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevin S. Smith, M.D., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Smith, MD
Anesthesiology
NPI 1457388225
7525 LINDA VISTA RD STE C
San Diego, CA 92111
(619) 398-2988
✔ PECOS✔ Accepts MedicareSame address

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

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 05D1106103

Integrated Pain Specialist · San Diego, CA
Active · expires Oct 5, 2027
CLIA Number05D1106103
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorKevin S. Smith, MD
Laboratory Phone(619) 398-2988
Laboratory LocationIntegrated Pain Specialist7525 Linda Vista Rd Ste. C, San Diego, CA 92111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Integrated Pain Specialists Of Southern California, Inc.'s NPI number?

The NPI number for Integrated Pain Specialists Of Southern California, Inc. is 1639184344. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Kevin S. Smith, M.D..

Where is Integrated Pain Specialists Of Southern California, Inc. located?

Integrated Pain Specialists Of Southern California, Inc. is located at 7525 Linda Vista Rd Ste C, San Diego, CA 92111. The listed phone number is (619) 398-2988.

What is Integrated Pain Specialists Of Southern California, Inc.'s specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Integrated Pain Specialists Of Southern California, Inc. enrolled in Medicare?

Yes. Integrated Pain Specialists Of Southern California, Inc. is registered in the Medicare PECOS enrollment system.

When is Integrated Pain Specialists Of Southern California, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Integrated Pain Specialists Of Southern California, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Integrated Pain Specialists Of Southern California, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Integrated Pain Specialists Of Southern California, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1106103) is associated with this NPI, valid through October 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Pain Specialists Of Southern California, Inc. was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.