TIMOTHY JOSEPH SPRAGUE (NPI# 1487797122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487797122 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOSEPH SPRAGUE |
| Credential | M.D. |
| Practice Address |
15031 Rinaldi St Mission Hills CA 91345-1207 |
| Mailing Address |
2402 La Mesa Dr Santa Monica CA 90402-2343 |
| Practice Telephone | 8188984530 |
| Practice Fax Number | 8188984451 |
| Mailing Telephone | 3103938895 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
G37181 | CA | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
G37181 | CA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G37181 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G37181 | CA | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
G37181 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15031 RINALDI ST |
| City | MISSION HILLS |
| State | CA |
| Zip Code | 91345-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522585 | Shamel Sanani | Internal Medicine | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2005-07-18 |
| 1669089405 | Deepti Bhatnagar | Registered Nurse | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-25 |
| 1316552615 | Monet Andrea Quon | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-09-14 |
| 1952930166 | Nicholas Giovanni Cascelli | Specialist/Technologist | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-04-08 |
| 1730718602 | Monica Caro | Specialist/Technologist | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-04-03 |
| 1538791447 | Jennifer Cooney | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2020-02-08 |
| 1770124406 | Sondra Yvette Ortiz | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-10-03 |
| 1215582077 | Anna Gray | Registered Nurse | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-08-07 |
| 1073175873 | Lorraine Margaret Estronick | Nurse Practitioner | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-07-01 |
| 1245890706 | Evan Jonathan Valle PC | Surgery | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141499 | Alpha Hospice | Hospice Care, Community Based | 15455 Devonshire St Suite 100a, Mission Hills, CA 91345 | 2020-10-12 |
| 1740725639 | Vivian Insua-lopez, Psy.d, Psychologist, Inc | Psychologist | 15455 San Fernando Misson Blvd., #308, Mission Hills, CA 91345 | 2016-12-30 |
| 1699162941 | Nancy M Kim Inc | Family Medicine | 11550 Indiana Hills Rd, 301, Mission Hills, CA 91345 | 2015-04-23 |
| 1881940088 | Prohealth-valley Occupational Medical Group | Clinic/Center | 10630 Sepulveda Blvd., Suite 100, Mission Hills, CA 91345 | 2012-07-25 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1679860084 | Mirna G Villatoro | Residential Treatment Facility, Physical Disabilities | 11100 Sepulveda Blvd, # 232, Mission Hills, CA 91345 | 2011-07-06 |
| 1093010944 | Ana Yvette Alvarez | Rehabilitation Practitioner | 11565 Laurel Canyon Blvd. Suite 116, Mission Hills, CA 91345 | 2011-01-24 |
| 1811226392 | Tender Home Health | Home Health | 10117 Sepulveda Blvd Ste 205a, Mission Hills, CA 91345 | 2009-12-14 |
| 1033387279 | Jamal Elias Khoury | Chiropractor | 15336 Devonshire St. Ste 3, Mission Hills, CA 91345 | 2008-02-11 |
| 1043497282 | Ana Elena Aldana | Counselor | 10200 Sepulveda Blvd., Unit 100, Mission Hills, CA 91345 | 2008-01-30 |
| Find all providers in zip 91345 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134273980 | Martin Eli Applebaum | Radiology | 15031 Rinaldi Street, Mission Hills, CA 91346-9600 | 2007-01-22 |
| 1639311731 | Kiarash Vahidi | Radiology | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2009-04-03 |
| 1164563284 | Shendee Teng, M.d., Inc | Radiology | 15031 Rinaldi St, Mission Hills, CA 91345-1207 | 2007-02-09 |
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| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | MISSION HILLS |
| Zip Code | 91345 |
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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.