Individual provider Active NPI

Wesley Jay Sphar, ATC

  • Athletic Trainer
  • Redding, CA
National Provider Identifier
1073572913
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000080463 Issued in CA
Practice address
2682 La Rinconada PL
Redding, CA 96002-3708
Phone
(530) 222-3086
Fax
(530) 224-1095
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000080463 CA Primary

Addresses

Primary practice location

2682 La Rinconada PL
Redding, CA 96002-3708

Mailing address

2682 La Rinconada PL
Redding, CA 96002-3708
Phone (530) 224-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000080463CAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Wes Sphar Pedorthic Service Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1073572913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 LA RINCONADA PL",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023708",
            "telephone_number": "530-224-9420",
            "fax_number": "530-224-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 LA RINCONADA PL",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023708",
            "telephone_number": "530-222-3086",
            "fax_number": "530-224-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPHAR",
        "first_name": "WESLEY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "000080463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.