DR. DALE BOYD SPARKS (NPI# 1194051581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194051581 |
| Entity Type | Individual |
| Full Name | DR. DALE BOYD SPARKS |
| Credential | MD |
| Practice Address |
29368 Big Range Rd Canyon Lake CA 92587-7652 |
| Practice Telephone | 9512447311 |
| Practice Fax Number | 9512447311 |
| Mailing Telephone | 9512447311 |
| Mailing Fax Number | 9512447311 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
C21850 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
29368 BIG RANGE RD |
| City | CANYON LAKE |
| State | CA |
| Zip Code | 92587-7652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964635 | Aliah Hasan | Marriage & Family Therapist | 29049 Scout Crt, Canyon Lake, CA 92587 | 2019-07-22 |
| 1316308166 | Chanel Chew Castillo | Dentist | 30290 Skippers Way Dr, Canyon Lake, CA 92587 | 2016-03-08 |
| 1306165709 | Jennifer D Lewis | Massage Therapist | 23717 Cruise Circle Dr, Canyon Lake, CA 92587 | 2010-05-25 |
| 1902901630 | William Brent Robinson | Dentist | 31570 Railroad Canyon Rd, Ste 101, Canyon Lake, CA 92587 | 2006-09-14 |
| 1629582820 | Ashleigh Brown | Specialist/Technologist | 30060 Skippers Way Dr, Canyon Lake, CA 92587-7404 | 2017-11-27 |
| 1013171255 | California Medical Supply | Durable Medical Equipment & Medical Supplies | 30199 Skippers Way Dr, Canyon Lake, CA 92587-7405 | 2008-07-16 |
| 1548748635 | Mason Dental Hygiene Group | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2018-08-01 |
| 1720633027 | Amy Lynn Mason | Dental Hygienist | 30168 Point Marina Dr, Canyon Lake, CA 92587-7411 | 2019-08-05 |
| 1477752558 | Roger Strong | Dentist | 30389 Point Marina Dr, Canyon Lake, CA 92587-7413 | 2007-07-17 |
| 1508193392 | Ku Il Lee | Chiropractor | 29806 Santa Maria Dr, Canyon Lake, CA 92587-7426 | 2009-11-16 |
| Find all providers in zip 92587 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078743 | Rhonda J. Myers, M.d. | Allergy & Immunology | 4902 Irvine Center Dr Ste 108, Irvine, CA 92604-3334 | 2020-03-18 |
| 1063903201 | Nisha Ann Roy | Allergy & Immunology | 1923 Coffee Rd Ste 12, Modesto, CA 95355-2708 | 2018-05-23 |
| 1619472024 | Professional Diagnostic Solutions Inc | Allergy & Immunology | 16940 Chatsworth St Unit 303, Granada Hills, CA 91344-5864 | 2018-03-27 |
| 1528570678 | Dossier Health Management | Allergy & Immunology | 138 N Brand Blvd Ste 200-106, Glendale, CA 91203-4614 | 2017-10-30 |
| 1467805358 | James Patrick Kemp | Allergy & Immunology | 15904 Cuyamaca Forest Rd, Julian, CA 92036-9641 | 2016-07-15 |
| 1528426053 | Allergy Asthma Sinusitis Medical Clinic Inc Divyang Trivedi | Allergy & Immunology | 11832 Rosecrans Ave # 200, Norwalk, CA 90650-4107 | 2016-01-28 |
| 1932564879 | Tri Valley Allergy | Allergy & Immunology | 1038 Murrieta Blvd Ste B, Livermore, CA 94550-4151 | 2015-12-18 |
| 1881074748 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1853 Lander Ave, Turlock, CA 95380-6240 | 2015-06-05 |
| 1265812119 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1923 Coffee Road, 12c, Modesto, CA 95355-2708 | 2015-06-05 |
| 1972983815 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1415 Badger Flat Rd, A, Los Banos, CA 93635-8600 | 2015-06-05 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 92587 |
Please comment or provide details below to improve the information on DR. DALE BOYD SPARKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.