Individual provider Active NPI

Alyssa Spencer, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1285093898
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53199 Issued in CA
Practice address
10423 Old Placerville Rd Ste a
Sacramento, CA 95827-2540
Phone
(916) 737-5555
NPI assigned
Feb 11, 2016
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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 53199 CA Primary

Addresses

Primary practice location

10423 Old Placerville Rd Ste a
Sacramento, CA 95827-2540

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227
Phone (916) 469-4690

Other practice location 1

2425 Alhambra Blvd
Sacramento, CA 95817-1955
Phone (916) 737-5555

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
I20180626002591 CA Practitioner - Physician Assistant 0941506224 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53199CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince May 9, 2018 Accepting new patients
Wellspace Health CurrentSince May 9, 2018 Accepting new patients
Wellspace Health Past Accepting new patients
Judith Brandt, D O Inc PastSince Aug 26, 2024 Accepting new patients
Wellspace Health Past Accepting new patients

Locations

5959 Greenback Ln
Ste 500
Citrus Heights, CA 95621
Phone (916) 725-1177

11333 Prospect Dr
Jackson, CA 95642
Phone (209) 268-0560

11333 Prospect Dr
Ste B
Jackson, CA 95642

10423 Old Placerville Rd
Ste A
Sacramento, CA 95827
Phone (916) 569-8600

1500 Expo Pkwy
Sacramento, CA 95815
Phone (916) 646-8300

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: alyssa.spencer.p1@direct.wellspacehealth.nextgenshare.com
  • Direct secure messaging: aspencer769566@direct.ochin.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1285093898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154227",
            "telephone_number": "916-469-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 OLD PLACERVILLE RD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272540",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Alhambra Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171955",
            "country_code": "US",
            "telephone_number": "916-737-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.