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
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jeremy Sporrong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sun Valley, CA 91352
- Reassigned Medicare billing, California enrollment
- 218 clinicians in this Medicare group
Val Verde, CA 91384
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
San Diego, CA 92109
- Reassigned Medicare billing, California enrollment
- 1,100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Jeremy Sporrong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Sporrong reassigns Medicare benefits to 3 organizations: Northeast Valley Health Corporation (Sun Valley, CA), Samuel Dixon Family Health Center, Inc (Val Verde, CA) and Family Health Centers Of San Diego, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Sporrong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 11 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
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northeast Valley Health Corporation (NPI 1013199264, Sun Valley, CA); Samuel Dixon Family Health Center, Inc (NPI 1154402675, Val Verde, CA); Family Health Centers Of San Diego, Inc (NPI 1386689701, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **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.