Individual
JASON T. SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8120 TIMBERLAKE WAY, SACRAMENTO, CA 95823-5412
(916) 681-6000
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8586
CA
208M00000X
Hospitalist Physician
Primary
20A8586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810711127
PHCS
CA
05
—
00AX85860
—
CA
01
—
020A85860
BLUE SHIELD
CA
01
—
112733
HEALTH NET
CA
01
—
1911642
GREAT WEST
CA
01
—
20A8586
BLUE CROSS
CA
01
—
2421184
UNITED HEALTHCARE
CA
01
—
256746
INTERPLAN
CA
01
—
4683565
CIGNA
CA
01
—
7350671
AETNA
CA
01
—
90199250
PACIFICARE
CA
01
—
MCMG424900
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
02/13/2012
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