Kenneth O Sparks, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G39756 Issued in CA

Practice address

8383 Wilshire Blvd
Suite 440
Beverly Hills, CA 90211-2425

Phone

(323) 655-8036

Fax

(323) 655-8443

NPI assigned

Jul 11, 2006

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Ophthalmology

Education

Stanford University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

84.21

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Retina Consultants of Southern Cal Medical Associates Inc

  • Ophthalmology Physician
  • Riverside, CA
  • NPI 1710046842
  NPD
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Kenneth Cohn, M.D., a Medical Corporation

  • Ophthalmology Physician
  • South Gate, CA
  • NPI 1871646620
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1598790263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112436",
            "telephone_number": "323-655-8036",
            "fax_number": "323-655-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD",
            "address_2": "SUITE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112425",
            "telephone_number": "323-655-8036",
            "fax_number": "323-655-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "KENNETH",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G39756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G397560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spalding Outpatient Surgery Center
• Spalding Surgical Center of Beverly Hills, LLC
• Spalding Surgical Group
• Spalding Triangle Surgery Center, LLC (Spalding Triangle Surgery Center)
• Kimberly Dianne Spalding, AMFT
• Ronald A Sparks, D.D.S.
• Specialty Surgical Center of Beverly Hills LP (Specialty Surgical Center)
• Specialty Surgical Center, LLC (Specialty Surgical Center)
• S.E. Specter, MD PHD
• Pnina Spector-Shleifer, LCSW

• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.