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MR. JACK ROBERT SPREEN PA
NPI 1952031130
Physician Assistant in West Hollywood, CA

Active since June 12, 2022PECOS Enrolled
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048(310) 423-8780(310) 423-0424 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2023, Jun 12, 2022 (2 updates tracked since 2022).

About Mr. Jack Robert Spreen Pa NPPES

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

MR. JACK ROBERT SPREEN PA (NPI 1952031130) is an individual physician assistant in West Hollywood, California, licensed in California (PA61755) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Riverside.

NPPES Registry Identity

NPI1952031130
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JACK ROBERT SPREENCredential: PA
Location Address8700 BEVERLY BLVDWest Hollywood, CA 90048-1804
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-8780 · Fax (310) 423-0424
Phone(310) 423-8780
Fax(310) 423-0424
Sole ProprietorYes
Enumeration DateJune 12, 2022
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1952031130 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 · PA61755
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.
8700 BEVERLY BLVD, West Hollywood, CA 90048
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Secondary Practice Location 1

Location 18432 Magnolia AveRiverside, CA 92504-3297 · Phone (877) 228-3615

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jack Robert Spreen Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90048 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 20

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

DR. BERNICE LOUISE COLEMAN PH.D, ACNP-BC
Nurse Practitioner (Acute Care)
8700 BEVERLY BLVD, NORTH TOWER ROOM 6215
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6178
DR. INGRID LEAH DOMBROWER M.D.
Psychiatry & Neurology (Psychiatry)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-2871
ELAINE WITTERT MSW
Social Worker (Clinical)
8700 BEVERLY BLVD, SUITE AC1002
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3119
DR. KENAN MOHAMMED NADAR D.O.
Pediatrics
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-4451
HAE YOON GRACE CHOUNG MD
Pathology (Anatomic Pathology & Clinical Pathology)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-6623
CASEY DISTASO MD
Emergency Medicine
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-8780
CHIARA CASAS NP
Nurse Practitioner (Pediatrics)
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-3277
PHILIP CHENG MD
Student in an Organized Health Care Education/Training Program
8700 BEVERLY BLVD
WEST HOLLYWOOD, CA 90048
Los Angeles County (310) 423-1682

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 Jack Spreen's NPI number?

The NPI number for Jack Spreen is 1952031130. It was assigned to this individual provider in the NPPES registry on June 12, 2022.

Where is Jack Spreen located?

Jack Spreen practices at 8700 Beverly Blvd, West Hollywood, CA 90048. The listed phone number is (310) 423-8780.

What is Jack Spreen's specialty?

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

Is Jack Spreen enrolled in Medicare?

Yes. Jack Spreen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Spreen was last updated on January 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.