Individual provider Active NPI

Maria Janelle H Spears, P.A.-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1417305616
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53434 Issued in CA
Practice address
924 38TH St Apt 2
Sacramento, CA 95816-4632
Phone
(650) 455-0019
NPI assigned
May 27, 2016
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 PA53434 CA Primary

Addresses

Primary practice location

924 38TH St Apt 2
Sacramento, CA 95816-4632

Mailing address

10535 Hospital Way BLDG 646
Mather, CA 95655-4200
Phone (916) 366-5408

Other names 1

  • Maria Janelle B Hernandez Former name

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
I20170316002670 CA Practitioner - Physician Assistant 7315222197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53434CAMDPhysical Therapy Assistant
PA53434CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern California Orthopaedic Associates Corp CurrentSince Feb 11, 2017 Accepting new patients

Locations

1061 E Main St
Ste 201
Grass Valley, CA 95945
Phone (530) 477-5288

75 Scripps Dr
Sacramento, CA 95825
Phone (916) 512-6262

Interoperability endpoints

  • Direct secure messaging: maria.spears.1@9116.direct.athenahealth.com
  • Direct secure messaging: mspears370239@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1417305616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY BLDG 646",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-366-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 38TH ST APT 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164632",
            "telephone_number": "650-455-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "MARIA JANELLE",
        "middle_name": "H",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA JANELLE",
            "last_name": "HERNANDEZ",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.