Active NPI
Date Palm Inc.
- Family Medicine Physician
- Blythe, CA
National Provider Identifier
1760550701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C22232
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0077770 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.