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ALEXANDRA BROOKE SPOONER PA
NPI 1073151825
Physician Assistant in Pasadena, CA

Active since December 11, 2019PECOS EnrolledAccepts Medicare Assignment
625 S FAIR OAKS AVE STE 270, PASADENA, CA 91105(424) 314-0177(424) 314-0180 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2022, Sep 11, 2020, Feb 20, 2020 and 1 more (4 updates tracked since 2019).

About Alexandra Brooke Spooner Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA BROOKE SPOONER PA (NPI 1073151825) is an individual physician assistant in Pasadena, California, licensed in California (PA57159) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073151825
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA BROOKE SPOONERCredential: PA
Location Address625 S FAIR OAKS AVE STE 270Pasadena, CA 91105-2668
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(424) 314-0177
Fax(424) 314-0180
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 11, 2019
Last NPPES UpdateJune 7, 20224 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1073151825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA57159
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
625 S FAIR OAKS AVE STE 270, Pasadena, CA 91105
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Secondary Practice Location 1

Location 11450 San Pablo St Ste 6200Los Angeles, CA 90033-5331 · Phone (323) 442-9062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Brooke Spooner Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476988585
PECOS Enrollment IDI20200120000206
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALICIA MARIA TERANDO M.D.
Surgery (Surgical Oncology)
625 S FAIR OAKS AVE STE 270
PASADENA, CA 91105
Los Angeles County (424) 314-0182
SIMONA E CAPITANI PA-C
Physician Assistant
625 S FAIR OAKS AVE STE 270
PASADENA, CA 91105
Los Angeles County (424) 314-0177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Spooner's NPI number?

The NPI number for Alexandra Spooner is 1073151825. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Alexandra Spooner located?

Alexandra Spooner practices at 625 S Fair Oaks Ave Ste 270, Pasadena, CA 91105. The listed phone number is (424) 314-0177.

What is Alexandra Spooner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexandra Spooner enrolled in Medicare?

Yes. Alexandra Spooner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexandra Spooner was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.