JEREMY DANE SPORRONG D.O.
NPI 1639439656
Family Medicine in Loma Linda, CA
About Jeremy Dane Sporrong D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY DANE SPORRONG D.O. (NPI 1639439656) is an individual family medicine provider in Loma Linda, California, licensed in California (20A13251) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Jeremy Dane Sporrong D.o. 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 92354 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Jeremy Sporrong's NPI number?
The NPI number for Jeremy Sporrong is 1639439656. It was assigned to this individual provider in the NPPES registry on May 23, 2012.
Where is Jeremy Sporrong located?
Jeremy Sporrong practices at 11234 Anderson St Gme Office Csp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-6688.
What is Jeremy Sporrong's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeremy Sporrong enrolled in Medicare?
Yes. Jeremy Sporrong 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.
What insurance does Jeremy Sporrong accept?
Health plans from Ambetter from Arizona Complete Health list Jeremy Sporrong as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeremy Sporrong was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jeremy Dane Sporrong, D.O. · NPI 1639439656
Family Medicine physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since May 23, 2012.
## Identity
- **NPI:** 1639439656 (Entity type: Individual)
- **Enumerated:** May 23, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A13251 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, GME OFFICE CSP 21005, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-6688
## 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 2012
## Record status
- **NPPES last updated:** August 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1639439656) · Data from the CMS NPPES public registry.