Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophea Bergen, PA-C

Individual provider Physician Assistant · NPI 1558300665

Sophea Bergen, PA-C is a Physician Assistant in San Diego, California. Qualified in 2005, 21 years ago. Practices with La Jolla Spine Institute Medical Group Inc, an 8-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6719 Alvarado Rd Ste 308
San Diego, CA 92120-5268
Phone: (619) 265-7912
Fax: (619) 265-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 W Ironwood Dr, Coeur D Alene, ID 83814-2656 — (208) 676-9913

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA972 (ID)

Record details

NPI number1558300665
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESNovember 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice La Jolla Spine Institute Medical Group Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego