Individual provider Active NPI

Jean E Sprengel, M.D.

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1316907553
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G48055 Issued in CA
Practice address
681 S Parker St
Ste 150
Orange, CA 92868-4761
Phone
(714) 744-0900
Fax
(714) 744-0283
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G48055 CA Primary

Addresses

Primary practice location

681 S Parker St
Ste 150
Orange, CA 92868-4761

Mailing address

210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243

Other identifiers 1

IdentifierTypeStateIssuer
00G480550MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000636 CA Practitioner - Anesthesiology 2961546338 Reassigns benefits to 1 organization
Practice locations: Fountain Valley, CA; Redlands, CA; Palm Springs, CA; Orange, CA; Newport Beach, CA; Murrieta, CA; Los Alamitos, CA; Laguna Niguel, CA…

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48055CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Aug 14, 2015 Accepting new patients
San Dieguito Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

11190 Warner Ave
Ste 212
Fountain Vly, CA 92708
Phone (714) 338-1650

3500 Barranca Pkwy
Ste 130
Irvine, CA 92606
Phone (949) 522-6266

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1316907553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "800-883-7243",
            "fax_number": "714-647-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S PARKER ST",
            "address_2": "STE 150",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684761",
            "telephone_number": "714-744-0900",
            "fax_number": "714-744-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRENGEL",
        "first_name": "JEAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G48055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G480550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.