Individual provider Active NPI

Samuel Jared Sperry, PA-C

  • Physician Assistant
  • Irvine, CA
National Provider Identifier
1689941346
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22002 Issued in CA
Practice address
1000 Fivepoint Ste a
Irvine, CA 92618-2621
Phone
(800) 826-4673
NPI assigned
Nov 23, 2011
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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 PA22002 CA Primary

Addresses

Primary practice location

1000 Fivepoint Ste a
Irvine, CA 92618-2621

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830
Phone (909) 475-8611

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

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
I20151211002375 CA Practitioner - Physician Assistant 5597066795 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

1000 Fivepoint
Suite a
Irvine, CA 92618-2621
Phone (949) 671-4673

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA22002CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Jan 13, 2024 Accepting new patients
Cep America - California CurrentSince Jun 1, 2018 Accepting new patients
Western Bariatric, a Medical Corporation CurrentSince Feb 6, 2012 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Eisenhower Medical Center CurrentSince Jan 31, 2023 Accepting new patients
Cep America-California CurrentSince Jun 1, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Oct 21, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Oct 21, 2025 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: samuel.sperry.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1689941346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FIVEPOINT STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182621",
            "telephone_number": "800-826-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Highland Ave Ste 351",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043830",
            "country_code": "US",
            "telephone_number": "909-475-8611",
            "fax_number": "909-475-2566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPERRY",
        "first_name": "SAMUEL",
        "middle_name": "JARED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Fivepoint",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926182377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.