Carol J Spar, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G34646 Issued in CA

Practice address

941 Westwood Blvd
Suite 211
Los Angeles, CA 90024-2945

Phone

(310) 824-2957

Fax

(310) 824-0974

NPI assigned

Sep 20, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 20, 2012 through Jul 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679670558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 WESTWOOD BLVD",
            "address_2": "SUITE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242945",
            "telephone_number": "310-824-2957",
            "fax_number": "310-824-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 WESTWOOD BLVD",
            "address_2": "SUITE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242945",
            "telephone_number": "310-824-2957",
            "fax_number": "310-824-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAR",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G34646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Daniela Garcia Spandler, MD
• Kevin Wayne Spangenberg, DPT
• Bryan Michael-Paul Spann, D.O.
• Sammecha Spann
• George Kostas Spanos, M.D.
• James Edward Spar, MD
• Merrill Tremayne Sparago, M.D.
• James Byford Sparing, M.D.
• Spark Family Operations, LLC
• Spark Kids Collective

• Child & Adolescent Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.