| Samuel Jared Sperry, PA-C | |
|
1000 Fivepoint Ste A, Irvine, CA 92618-2621 | |
| (800) 826-4673 | |
| Not Available |
| Full Name | Samuel Jared Sperry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1000 Fivepoint Ste A, Irvine, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689941346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA22002 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Eisenhower Medical Center | Rancho mirage, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Hope Medical Foundation | 3779751656 | 964 |
| Providence Medical Foundation | 8921993205 | 1461 |
| Eisenhower Medical Center | 5890689657 | 462 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Desert Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Entity Name | Southern California Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499 |
| Entity Name | Western Bariatric a Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184821373 PECOS PAC ID: 3476607052 Enrollment ID: O20090817000247 |
| Entity Name | Eisenhower Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013981554 PECOS PAC ID: 5890689657 Enrollment ID: O20100506000102 |
| Entity Name | Homan a Zadeh MD Mph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891026373 PECOS PAC ID: 8426189507 Enrollment ID: O20100708000640 |
| Entity Name | City of Hope Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Jared Sperry, PA-C Po Box 512185, Los Angeles, CA 90051-0185 Ph: Not Available | Samuel Jared Sperry, PA-C 1000 Fivepoint Ste A, Irvine, CA 92618-2621 Ph: (800) 826-4673 |
Mrs. Kelsey Chan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14443 Culver Dr Ste A, Irvine, CA 92604 Phone: 949-767-8173 |
Jazmin Alejandra Hiemer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4212 Archway, Irvine, CA 92618 Phone: 714-814-6560 |
Amanda Erin Feenberg, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9401 Jeronimo Rd, Irvine, CA 92618 Phone: 714-744-7650 |
Fasiha Rashid Memon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 Reynolds Ave Ste 100, Irvine, CA 92614 Phone: 657-900-4536 Fax: 657-208-9732 |
Kim Phan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4980 Barranca Pkwy Ste 202, Irvine, CA 92604 Phone: 949-733-1336 |
Mohammad Addal, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 81 Visionary, Irvine, CA 92618 Phone: 714-482-7914 |
Marie J. Galvan Renella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Osborn St Ste 180, Irvine, CA 92604 Phone: 949-417-9820 Fax: 949-417-9830 |