Individual provider Active NPI

Jason Thomas Speaks, PHD, FNP-C, RN

  • Addiction Medicine (Family Medicine) Physician
  • Galt, CA
National Provider Identifier
1902140007
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
22258 Issued in CA
Practice address
750 Spaans Dr
Ste C, D and F
Galt, CA 95632-8609
Phone
(209) 744-9909
NPI assigned
Nov 15, 2012
Last updated
Oct 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 22258 CA
Nurse Practitioner 363L00000X 22258 CA
Community Health Nurse Practitioner 363LC1500X 22258 CA
Family Nurse Practitioner 363LF0000X 22258 CA
Primary Care Nurse Practitioner 363LP2300X 22258 CA
Registered Nurse 163W00000X 824970 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X 22258 CA Primary

Addresses

Primary practice location

750 Spaans Dr
Ste C, D and F
Galt, CA 95632-8609

Mailing address

1191 Malcolm Dixon Rd
El Dorado Hills, CA 95762-3821
Phone (415) 696-1696

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
I20221014000202 CA Practitioner - Nurse Practitioner 9234350513 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
22258CAMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Associated Family Physicians Inc Multi-Specialty CurrentSince Jun 30, 2022 Accepting new patients
Jason T Speaks Home Health Past Accepting new patients

Locations

417 C St
Galt, CA 95632
Phone (209) 745-1778

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

8110 Timberlake Way
Sacramento, CA 95823
Phone (916) 250-0377

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, 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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1902140007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 MALCOLM DIXON RD",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623821",
            "telephone_number": "415-696-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SPAANS DR",
            "address_2": "STE C, D AND F",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956328609",
            "telephone_number": "209-744-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKS",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "credential": "PHD, FNP-C, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "22258",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "22258",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "22258",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22258",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "22258",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "824970",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "22258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

Verify at the official NPI Registry.