Individual provider Active NPI

Spencer Knapp, PA-C

  • Physician Assistant
  • Oakland, CA
National Provider Identifier
1255842639
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54930 Issued in CA
Practice address
3900 Piedmont Ave
Oakland, CA 94611-5352
Phone
(415) 432-7899
Fax
(510) 899-7101
NPI assigned
Oct 12, 2017
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 54930 CA Primary

Addresses

Primary practice location

3900 Piedmont Ave
Oakland, CA 94611-5352

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030003426 CA Practitioner - Physician Assistant 6406122878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasanton Emergency Medical GroupGroup PAC ID 0143118927, 38 clinicians
UCSF Health Medical FoundationGroup PAC ID 9436239878, 65 clinicians

Practice addresses (Care Compare)

1111 E Stanley Blvd
Livermore, CA 94550-4115
Phone (925) 373-4018

1133 E Stanley Blvd
Livermore, CA 94550-4200
Phone (925) 373-4500

1310 El Camino Real
Suite I J
San Bruno, CA 94066-1305
Phone (650) 270-2395

170 Columbus Ave
Suite 110
San Francisco, CA 94133-5160
Phone (415) 965-8050

199 W Portal Ave
San Francisco, CA 94127-1305
Phone (415) 821-8798

2288 Market St
San Francisco, CA 94114-1506
Phone (415) 964-4855

2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242

2895 Diamond St
San Francisco, CA 94131-3004
Phone (415) 964-4866

325 Gellert Blvd
Daly City, CA 94015-2613
Phone (650) 270-2394

3838 California St
RM 111
San Francisco, CA 94118-1504
Phone (415) 221-6476

3900 Piedmont Ave
Oakland, CA 94611-5352
Phone (415) 432-7899

4000 Dublin Blvd
Suite 150
Dublin, CA 94568-3180
Phone (925) 479-3773

5555 W Las Positas Blvd
Pleasanton, CA 94588-4000
Phone (925) 416-3418

750 Redwood Hwy Frontage Rd
Suite 1204
Mill Valley, CA 94941-2483
Phone (415) 384-4778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
57.11
Promoting interoperability
100
Improvement activities
40
Cost
73.85

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
94.45
Improvement activities
40
Cost
70.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54930CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Western Group, a Professional Corporation PastSince May 22, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sknapp370210@direct-ucsfmedicalcenter.org
  • Direct secure messaging: spencer.knapp@guc.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1255842639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115352",
            "telephone_number": "415-432-7899",
            "fax_number": "510-899-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "SPENCER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.