MR. KEVIN V. SPERA PMHCNS BC NPI 1407964638

NPI Information

NPI: 1407964638
Provider Name: MR. KEVIN V. SPERA, PMHCNS, BC
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
2300 CALIFORNIA ST STE 202
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 600-3503
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MR. Kevin V. Spera, PMHCNS, BC is a psychiatric/mental health and adult clinical nurse specialist in San Francisco, CA. MR. Kevin V. Spera, PMHCNS, BC NPI is 1407964638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 CALIFORNIA ST STE 202
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 600-3503
Fax: (415) 369-1383

The NPI 1407964638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 6/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN95044800	CALIFORNIA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	PMH586	CALIFORNIA	No
3	364S00000X	Clinical Nurse Specialist		CNS4252	CALIFORNIA	No
4	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	0240982	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN95044800	OTHER	CALIFORNIA	STATE MEDICAL LICENSE
2	PMH586	OTHER	CALIFORNIA	STATE MEDICAL LICENSE
3	CNS4252	OTHER	CALIFORNIA	STATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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