Stephen T. Sparks, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

G56785 Issued in CA

Practice address

14375 Nason St.
Suite 101
Moreno Valley, CA 92555-4727

Phone

(951) 486-5984

Fax

(951) 486-4295

NPI assigned

Nov 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Preventive Medicine

Education

Loma Linda University School of Dentistry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newstart Medical Group IncGroup PAC ID 8628299799, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stephen.sparks.1@11511.direct.athenahealth.com

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.

• Newstart Medical Group Inc

  dba Blue Stone Health and Wellness

  • Rural Health Clinic/Center
  • Weimar, CA
  • NPI 1588072698
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1326292640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14375 NASON ST.",
            "address_2": "SUITE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554727",
            "telephone_number": "951-486-5984",
            "fax_number": "951-486-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14375 NASON ST.",
            "address_2": "SUITE 101",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554727",
            "telephone_number": "951-486-5984",
            "fax_number": "951-486-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "STEPHEN",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G56785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yara Stephania Soto Solis
• Teresa Soto
• Yen Sou, OD
• Sward Southall, FNP
• Southern California Emergency Medicine (Moreno Beach Urgent Care Center)
• Celia Mae Spears, LVN
• Special Service for Groups, Inc.
• Spectrum Clinical Research Institute Inc
• Brittany Noel Speer, PA
• Kyle Joseph Spengler

• Occupational Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.