Individual provider Active NPI

Kregg Andrew Lemon, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1194426452
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65689 Issued in CA
Practice address
3161 L St
Sacramento, CA 95816-5234
Phone
(916) 878-3495
Fax
(916) 736-5533
NPI assigned
Mar 14, 2023
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1206358 AZ
Physician Assistant 363A00000X 1206358 NV
Physician Assistant 363A00000X PA65689 CA Primary

Addresses

Primary practice location

3161 L St
Sacramento, CA 95816-5234

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071

Other practice location 1

9801 N Metro Pkwy E
Phoenix, AZ 85051-1513
Phone (602) 249-0115

Other practice location 2

1990 Silverado Rd
Reno, NV 89521-7473
Phone (775) 527-5138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230601001304 AZ Practitioner - Physician Assistant 8426415753 Reassigns benefits to 1 organization
I20250729003866 CA Practitioner - Physician Assistant 8426415753 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, shared by 24 NPIs, 2,473 clinicians

Practice addresses (Care Compare)

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1206358AZMDPhysician Assistant
PA65689CAMDPhysician Assistant
1206358NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jul 1, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Aug 4, 2025 Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients

Locations

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

9801 N Metro Pkwy E
Phoenix, AZ 85051
Phone (602) 249-0115

8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

3161 L St
Sacramento, CA 95816
Phone (916) 453-9999

8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500

Interoperability endpoints

  • Direct secure messaging: klemon742375@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194426452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0071",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 L ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165234",
            "telephone_number": "916-878-3495",
            "fax_number": "916-736-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9801 N Metro Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850511513",
            "country_code": "US",
            "telephone_number": "602-249-0115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Silverado Rd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895217473",
            "country_code": "US",
            "telephone_number": "775-527-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMON",
        "first_name": "KREGG",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-14",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1206358",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "1206358",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.