Individual provider Active NPI

Alyssa Speciale, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Sacramento, CA
National Provider Identifier
1396126249
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
A161294 Issued in CA
Practice address
3301 C St Ste 1600
Sacramento, CA 95816-3384
Phone
(916) 734-6805
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MT211203 PA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X A161294 CA Primary

Addresses

Primary practice location

3301 C St Ste 1600
Sacramento, CA 95816-3384

Mailing address

4860 Y St Ste 3850
Sacramento, CA 95817-2307
Phone (916) 734-5292

Other practice location 1

3471 5th Ave Ste 201
Kaufmann Medical Building
Pittsburgh, PA 15213-3209
Phone (412) 648-6848

Other practice location 2

4860 Y St Ste 3850
Sacramento, CA 95817-2307
Phone (916) 734-5292

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
I20200617000942 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 2466766654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-3588

9390 Big Horn Blvd
Elk Grove, CA 95758-7978
Phone (916) 683-3955

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT211203PAMDPhysical Medicine & Rehabilitation Physician
A161294CAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Aug 13, 2020 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 27, 2020 Accepting new patients
Regents of the Univ of Ca Physical Medicine & Rehabilitation CurrentSince Jul 27, 2020 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of California CurrentSince Aug 13, 2020 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

9390 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

14264 Innovation Dr
Folsom, CA 95630
Phone (916) 703-2486

251 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9300

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 3850
Sacramento, CA 95817
Phone (916) 734-5292

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

3301 C St
Ste 1600
Sacramento, CA 95816
Phone (916) 734-2700

4875 Broadway
Sacramento, CA 95820
Phone (279) 224-6000

Organizations & group practices 8

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.

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1396126249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3850",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-5292",
            "fax_number": "916-734-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163384",
            "telephone_number": "916-734-6805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3471 5th Ave Ste 201",
            "address_2": "Kaufmann Medical Building",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133209",
            "country_code": "US",
            "telephone_number": "412-648-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 Y St Ste 3850",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172307",
            "country_code": "US",
            "telephone_number": "916-734-5292",
            "fax_number": "916-734-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPECIALE",
        "first_name": "ALYSSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MT211203",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A161294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.