DR. JONATHAN ISAIAH SMITH D.O.
NPI 1669867115
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BOULEVARD, FONTANA, CA 92335(909) 427-5084 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jonathan Isaiah Smith D.o. NPPES

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

DR. JONATHAN ISAIAH SMITH D.O. (NPI 1669867115) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669867115
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONATHAN ISAIAH SMITHCredential: D.O.
Location Address17234 VALLEY BOULEVARDFontana, CA 92335
Mailing Address17234 Valley BoulevardFontana, CA 92335
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
NPI 1669867115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17234 VALLEY BOULEVARD, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Isaiah Smith D.o. 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.

PECOS PAC ID1850648452
PECOS Enrollment IDI20180726002770
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

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

Student in an Organized Health Care Education/Training Program
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BOULEVARD
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BOULEVARD
FONTANA, CA 92335
Hospitalist
17234 VALLEY BOULEVARD, BUILDING A
FONTANA, CA 92335

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 Jonathan Smith's NPI number?

The NPI number for Jonathan Smith is 1669867115. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Jonathan Smith located?

Jonathan Smith practices at 17234 Valley Boulevard, Fontana, CA 92335. The listed phone number is (909) 427-5084.

What is Jonathan Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Smith enrolled in Medicare?

Yes. Jonathan 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.

When was this NPI record last updated?

The NPPES record for Jonathan Smith was last updated on December 2, 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.