Active NPI
Mikayla Rae Spor, ASW
- Social Worker
- Mather, CA
National Provider Identifier
1245937713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW109071
- Practice address
- 10535 Hospital Way BLDG 651
Mather, CA 95655-4200 - Phone
- (916) 843-9460
- NPI assigned
- Feb 14, 2023
- Last updated
- Feb 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW109071 | CA | Primary |
Addresses
Primary practice location
10535 Hospital Way BLDG 651
Mather, CA 95655-4200
Mailing address
10535 Hospital Way BLDG 651
Mather, CA 95655-4200
Phone (916) 843-9460
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 |
|---|---|---|---|
| ASW109071 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1245937713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY BLDG 651",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY BLDG 651",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-9460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOR",
"first_name": "MIKAYLA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW109071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.