Sprague Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SPRAGUE MEDICAL CORP

Practice address

1582 W San Marcos Blvd Ste 100
San Marcos, CA 92078-4081

Phone

(619) 337-4951

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Lee Sprague, DONPI 1881077428

Title

President

Phone

(619) 337-4951

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Sprague, D.O.

  • Internal Medicine Physician
  • San Marcos, CA
  • NPI 1881077428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1689487571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "760-304-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "619-337-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRAGUE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-337-4951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn Sovacool
• Jennifer Spahr
• Special Education Services
• Jamie Fukai Spence, PA-C
• Spinezone Medical Fitness, Inc.
• Monica Rose Sprague, RN-CS, MSN, FNP
• Tyler Sprague, D.O.
• Coral Yvonne St Onge, OD
• Ashley Nichole Stafford
• Julie Ann Staggs, RN

• Internal Medicine Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.