SPA M MEDICAL CORPORATION (NPI# 1578790713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578790713 |
| Entity Type | Organization |
| Organization Name | SPA M MEDICAL CORPORATION |
| Practice Address |
32034 Blazing Star St Winchester CA 92596-8941 |
| Practice Telephone | 9513258307 |
| Mailing Telephone | 9513258307 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Authorized Official Name | DR. DENNNIS K. MILLER (CEO) |
| Authorized Official Telephone | 7144657125 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
20A8981 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609299536 | Spa M Medical Corporation | Family Medicine | 27520 Ynez Rd, C5, Temecula, CA 92591-4650 | 2014-01-29 |
| 1215358502 | Spa M Medical Corporation | Clinic/Center | 27520 Ynez Rd, Suite C5, Temecula, CA 92591-4650 | 2014-01-03 |
| Street Address |
32034 BLAZING STAR ST |
| City | WINCHESTER |
| State | CA |
| Zip Code | 92596-8941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881979276 | A Step In The Right Direction LLC | Community/Behavioral Health | 31123 Janelle Ln, Street Address, Winchester, CA 92596 | 2011-10-17 |
| 1316047624 | Garfield Beach Cvs LLC | Pharmacy | 30736 Benton Rd, Winchester, CA 92596 | 2006-09-25 |
| 1093785685 | Jose Garcia Jimenez | Dental Hygienist | 31835 Corte San Pablo, Winchester, CA 92596 | 2006-01-25 |
| 1134597321 | Maila Sucaldito Bundalian | Registered Nurse | 32864 Bachelor Peak Street, Winchester, CA 92596-5201 | 2015-09-04 |
| 1144213091 | Sharon Denise Clay Matemavi | Nurse Practitioner | 34875 Pourroy Rd Apt 1408, Winchester, CA 92596-8184 | 2005-08-25 |
| 1194045823 | Maria Celeste Solomon | Speech-Language Pathologist | 35081 Lone Hill Ct, Winchester, CA 92596-8344 | 2010-06-04 |
| 1790115814 | Angie Miller | Speech-Language Pathologist | 31160 Pinon Pine Cir, Winchester, CA 92596-8353 | 2013-11-26 |
| 1316556350 | Honestlove Global Homecare Agency LLC | In Home Supportive Care | 35676 Small Pine Ct, Winchester, CA 92596-8376 | 2020-07-27 |
| 1194351023 | Supannee Sandra Lertpaichaiyon | Pharmacist | 32627 Presidio Hills Ln, Winchester, CA 92596-8434 | 2020-03-23 |
| 1720376171 | Ildiko Venczel | Pharmacist | 30712 Benton Rd, Winchester, CA 92596-8466 | 2011-07-19 |
| Find all providers in zip 92596 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1962753319 | Reid Physician Associates, Inc | Clinic/Center | 400 S Oak St, Winchester, IN 47394-2225 | 2012-09-25 |
| 1225301740 | St. Vincent Medical Group, Inc. | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2012-02-14 |
| 1588966378 | Jefferson County Memorial Hospital Inc | Clinic/Center | 408 Delaware St, Winchester, KS 66097-4003 | 2010-11-30 |
| 1114105749 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 231 W Cherry St, Winchester, IL 62694-1027 | 2008-02-06 |
| 1093708612 | St Vincent Randolph Hospital | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-08-30 |
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| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | WINCHESTER |
| Zip Code | 92596 |
Please comment or provide details below to improve the information on SPA M MEDICAL CORPORATION.
| 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.