Individual provider Active NPI

Jack J Springer, M.D.

  • Emergency Medicine Physician
  • La Mesa, CA
National Provider Identifier
1104828284
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G70780 Issued in CA
Practice address
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone
(619) 710-4145
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G70780 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Mailing address

5841 Stresemann St
San Diego, CA 92122-3140
Phone (858) 243-2186

Other identifiers 1

IdentifierTypeStateIssuer
00G707800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122001235 CA Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Family Practice 8527960210 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5112AKMDLicensed Practical Nurse
G70780CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Feb 1, 2009 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Nov 27, 2023 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Feb 16, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Dec 25, 2017 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Dec 25, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Emergency Medicine CurrentSince Nov 27, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Feb 16, 2020 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Southwest Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Golden Heart Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Grossmont Emergency Medical Group Emergency Medicine Past Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1104828284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 STRESEMANN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921223140",
            "telephone_number": "858-243-2186",
            "fax_number": "858-597-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-710-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "JACK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G70780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G707800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.