Active NPI
Nicholas Ray Spear, PA-C
- Physician Assistant
- Ramona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60313
- Practice address
- 16603 John Henry LN
Ramona, CA 92065-6931 - Phone
- (619) 699-9839
- NPI assigned
- Nov 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60313 | CA | Primary |
Addresses
Primary practice location
16603 John Henry LN
Ramona, CA 92065-6931
Mailing address
PO Box 176
Palomar Mountain, CA 92060-0176
Phone (619) 699-9839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Loma Linda University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
211 13TH St
Ramona, CA 92065-2711
Phone (760) 789-5160
Hospital & facility affiliations
- Palomar Medical Center Poway
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Current | Accepting new patients | |
| Arch Health Partners | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Two Zeds Medical Corporation | Past | Accepting new patients |
Locations
225 E 2nd Ave
Escondido, CA 92025
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
Interoperability endpoints
- nicholas.spear.p1@direct.arch.nextgenshare.com
- nspear2255782@oc.providencedirect.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
-
- Family Medicine Physician
- Escondido, CA
- NPI 1891729745
-
- Emergency Medicine Physician
- Temecula, CA
- NPI 1407281223
-
- Internal Medicine Physician
- Escondido, CA
- NPI 1295329787
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
-
- Urgent Care Clinic/Center
- San Diego, CA
- NPI 1275909434
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1144985128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 176",
"city": "PALOMAR MOUNTAIN",
"state": "CA",
"postal_code": "920600176",
"telephone_number": "619-699-9839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16603 JOHN HENRY LN",
"city": "RAMONA",
"state": "CA",
"postal_code": "920656931",
"telephone_number": "619-699-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAR",
"first_name": "NICHOLAS",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-03",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ramona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.