SPA M MEDICAL CORPORATION (NPI# 1215358502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215358502 |
| Entity Type | Organization |
| Organization Name | SPA M MEDICAL CORPORATION |
| Practice Address |
27520 Ynez Rd Suite C5 Temecula CA 92591-4650 |
| Practice Telephone | 9516944200 |
| Practice Fax Number | 9516944244 |
| Mailing Telephone | 9516944200 |
| Mailing Fax Number | 9516944244 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | DR. DENNIS K MILLER (CEO) |
| Authorized Official Telephone | 9516944200 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
20A8981 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578790713 | Spa M Medical Corporation | Clinic/Center | 32034 Blazing Star St, Winchester, CA 92596-8941 | 2009-06-15 |
| 1609299536 | Spa M Medical Corporation | Family Medicine | 27520 Ynez Rd, C5, Temecula, CA 92591-4650 | 2014-01-29 |
| Street Address |
27520 YNEZ RD SUITE C5 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487893483 | Dennis Keith Miller | Family Medicine | 27520 Ynez Rd, C5, Temecula, CA 92591-4650 | 2009-02-13 |
| 1609299536 | Spa M Medical Corporation | Family Medicine | 27520 Ynez Rd, C5, Temecula, CA 92591-4650 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055614 | Amh Ca Series II PC | Clinic/Center | 29645 Rancho California Rd Ste 117, Temecula, CA 92591-5285 | 2019-10-25 |
| 1326145756 | Anita C. Jackson, M.d., Inc | Clinic/Center | 31720 Highway 79 South, Suite 203, Temecula, CA 92592 | 2006-09-20 |
| 1003150657 | Azim U. Azhand, M.d. Professional Corporation | Clinic/Center | 27450 Ynez Rd, Suite 108, Temecula, CA 92591-4671 | 2012-11-20 |
| 1295927408 | Douglas F. Carrasco M.d. Inc. | Clinic/Center | 44274 George Cushman Ct, Suite 210, Temecula, CA 92592-5945 | 2007-08-11 |
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| 1902404247 | Arbol Acupuncture | Clinic/Center | 2620 Foothill Blvd Ste A, La Crescenta, CA 91214-4509 | 2020-10-09 |
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| 1457966442 | Carlos A. Alvarez., Md., Inc | Clinic/Center | 6001 Truxtun Ave Ste 220, Bakersfield, CA 93309-0662 | 2020-09-15 |
| 1265046395 | Riverway Medical Group A Medical Corporation | Clinic/Center | 1827 S Court St Ste B, Visalia, CA 93277-5469 | 2020-09-05 |
| 1386258754 | Apollo Health Services Inc | Clinic/Center | 438 E Katella Ave Ste 229, Orange, CA 92867-4803 | 2020-09-03 |
| 1538772843 | Unlimited Urgent Care Inc. | Clinic/Center | 8781 Van Nuys Blvd Ste A, Panorama City, CA 91402-2401 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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| 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.