DR. JONATHAN ISAIAH SMITH D.O.
NPI 1669867115
Student in an Organized Health Care Education/Training Program in Fontana, CA
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan 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.
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.
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
FONTANA, CA 92335
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.
Which organization bills Medicare for Jonathan Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan 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 Jonathan 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 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.
# Dr. Jonathan Isaiah Smith, D.O. · NPI 1669867115
Student in an Organized Health Care Education/Training Program provider in Fontana, California. Individual provider, active in the CMS NPPES registry since April 1, 2015.
## Identity
- **NPI:** 1669867115 (Entity type: Individual)
- **Enumerated:** April 1, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 17234 VALLEY BOULEVARD, Fontana, CA 92335
- **Phone:** (909) 427-5084
## 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:** Other, class of 2015
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669867115) · Data from the CMS NPPES public registry.