Active NPI
Gail Elizabeth Sparhawk
- Behavior Analyst
- La Mesa, CA
National Provider Identifier
1225399017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2695
- Practice address
- 8130 La Mesa Blvd # 427
La Mesa, CA 91942-6437 - Phone
- (619) 820-8148
- Fax
- (619) 334-1270
- NPI assigned
- Jun 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2695 | CA | Primary |
Addresses
Primary practice location
8130 La Mesa Blvd # 427
La Mesa, CA 91942-6437
Mailing address
8130 La Mesa Blvd # 427
La Mesa, CA 91942-6437
Phone (619) 820-8148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2695 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1225399017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8130 LA MESA BLVD # 427",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426437",
"telephone_number": "619-820-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 LA MESA BLVD # 427",
"city": "LA MESA",
"state": "CA",
"postal_code": "919426437",
"telephone_number": "619-820-8148",
"fax_number": "619-334-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPARHAWK",
"first_name": "GAIL",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "2695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.