Sprinter Medical East PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SPRINTER MEDICAL EAST PC

Practice address

4600 Bohannon Dr Ste 100
Menlo Park, CA 94025-1037

Phone

(209) 677-7468

NPI assigned

Oct 22, 2024

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randy Marse

Title

Chief Administrative Officer

Phone

(985) 778-1011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1346061355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BOHANNON DR STE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251037",
            "telephone_number": "209-677-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BOHANNON DR STE 100",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251037",
            "telephone_number": "209-677-7468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1979 Marcus Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421022",
            "country_code": "US",
            "telephone_number": "650-610-2655",
            "fax_number": "650-606-8619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Kinderkamack Rd Ste 100S",
            "address_purpose": "LOCATION",
            "city": "Oradell",
            "state": "NJ",
            "postal_code": "076491565",
            "country_code": "US",
            "telephone_number": "650-610-2655",
            "fax_number": "650-606-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRINTER MEDICAL EAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "MARSE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "985-778-1011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scott Spivack, LMFT, LPCC
• Sprinter Medical West PC
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• Sprinter Medical, PLLC
• Janis L Squire, RN
• Debra Dasaro St Claire, M.D.

• Family Medicine Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.