SOPHEA BERGEN PA-C
NPI 1558300665
Physician Assistant in San Diego, CA
About Sophea Bergen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHEA BERGEN PA-C (NPI 1558300665) is an individual physician assistant in San Diego, California, licensed in Idaho (PA972) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
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
Sophea Bergen Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92120
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 Sophea Bergen's NPI number?
The NPI number for Sophea Bergen is 1558300665. It was assigned to this individual provider in the NPPES registry on June 5, 2006. The provider is also known as Sophea Johansen.
Where is Sophea Bergen located?
Sophea Bergen practices at 6719 Alvarado Rd Ste 308, San Diego, CA 92120. The listed phone number is (619) 265-7912.
What is Sophea Bergen's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Sophea Bergen enrolled in Medicare?
Yes. Sophea Bergen 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 Sophea Bergen was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sophea Bergen, PA-C · NPI 1558300665
Physician Assistant physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1558300665 (Entity type: Individual)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA972 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 6719 ALVARADO RD STE 308, San Diego, CA 92120-5268
- **Phone:** (619) 265-7912 · **Fax:** (619) 265-7922
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** November 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1558300665) · Data from the CMS NPPES public registry.