Individual provider Active NPI

Tashia Sperry, PA-C

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1619304128
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54164 Issued in CA
Practice address
44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone
(951) 462-4624
Fax
(951) 462-4625
NPI assigned
Sep 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 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 54164 CA Primary

Addresses

Primary practice location

44045 Margarita Rd Ste 106
Temecula, CA 92592-2729

Mailing address

44045 Margarita Rd Ste 106
Temecula, CA 92592-2729
Phone (951) 462-4624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181019001660 NY Practitioner - Physician Assistant 6800026121 Reassigns benefits to 1 organization
I20250227001506 CA Practitioner - Physician Assistant 6800026121 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016931NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Feb 7, 2014 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Feb 7, 2014 Accepting new patients
Center for Neurohealth, Inc. PastSince Oct 18, 2024 Accepting new patients

Locations

3980 Sheridan Dr
Ste 501
Buffalo, NY 14226
Phone 71621810301

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

737 Main St
Buffalo, NY 14203
Phone 71621810007171

40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 539-0888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tashia.sperry.1@24703.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1619304128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-462-4624",
            "fax_number": "951-462-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44045 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925922729",
            "telephone_number": "951-462-4624",
            "fax_number": "951-462-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "TASHIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-28",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.