Organization Active NPI

Date Palm Inc.

  • Family Medicine Physician
  • Blythe, CA
National Provider Identifier
1760550701
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C22232 Issued in CA
Legal business name
DATE PALM INC.
Practice address
604 E Hobsonway
Blythe, CA 92225-1739
Phone
(760) 922-3644
Fax
(760) 922-2671
NPI assigned
Nov 30, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Walter T. Spelsberg, M.D.
Title
Officer
Phone
(760) 922-3644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C22232 CA Primary
Ophthalmology Physician 207W00000X C22232 CA

Addresses

Primary practice location

604 E Hobsonway
Blythe, CA 92225-1739

Mailing address

604 E Hobsonway
Blythe, CA 92225-1739
Phone (760) 922-3644

Other identifiers 1

IdentifierTypeStateIssuer
GR0077770MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1760550701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251739",
            "telephone_number": "760-922-3644",
            "fax_number": "760-922-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251739",
            "telephone_number": "760-922-3644",
            "fax_number": "760-922-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DATE PALM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SPELSBERG",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "760-922-3644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C22232",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C22232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.