Individual provider Active NPI

Tanaya Sparkle, M.D.

  • Anesthesiology Physician
  • Burbank, CA
National Provider Identifier
1609218023
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C196215 Issued in CA
Practice address
501 S Buena Vista St
Burbank, CA 91505-4809
Phone
(773) 875-5610
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35.133371 OH
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X C196215 CA Primary

Addresses

Primary practice location

501 S Buena Vista St
Burbank, CA 91505-4809

Mailing address

12105 Falcon Crest Way
Porter Ranch, CA 91326-3896
Phone (773) 875-5610

Other practice location 1

6431 Fannin St
MSB 5.020
Houston, TX 77030-1501
Phone (713) 500-6200

Other practice location 2

6431 Fannin St
MSB 5.020
Houston, TX 77030-1501
Phone (713) 500-6200

Other practice location 3

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190729003715 OH Practitioner - Anesthesiology 4082940077 Reassigns benefits to 1 organization
I20250303002825 CA Practitioner - Anesthesiology 4082940077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Toledo College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VP Anesthesia Partners IncGroup PAC ID 6002283363, 19 clinicians
Buena Vista Anesthesia Medical GroupGroup PAC ID 7113975996, 51 clinicians

Practice addresses (Care Compare)

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (310) 698-5486

27420 Tourney Rd
Valencia, CA 91355-5601
Phone (661) 222-3100

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

Merit-based Incentive Payment System (MIPS)

Final score
88.34 of 100Reported as group
Quality
69.17
Promoting interoperability
99
Improvement activities
40
Cost
75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C196215CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Toledo Physicians LLC Anesthesiology CurrentSince Jun 18, 2019 Accepting new patients
VP Anesthesia Partners, Inc Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Medical University of Ohio at Toledo Current Accepting new patients
Buena Vista Anesthesia Medical Group Anesthesiology CurrentSince Dec 28, 2024 Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

27420 Tourney Rd
Valencia, CA 91355
Phone (661) 222-3100

L4189
Columbus, OH 43260

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

Interoperability endpoints

  • Direct secure messaging: tsparkle19591@direct.utoledo.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1609218023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 FALCON CREST WAY",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913263896",
            "telephone_number": "773-875-5610",
            "fax_number": "773-875-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054809",
            "telephone_number": "773-875-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St",
            "address_2": "MSB 5.020",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6200",
            "fax_number": "713-500-6208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6431 Fannin St",
            "address_2": "MSB 5.020",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-500-6200",
            "fax_number": "713-500-6208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "43614",
            "country_code": "US",
            "telephone_number": "419-383-3888",
            "fax_number": "419-383-2860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKLE",
        "first_name": "TANAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.133371",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C196215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.