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NPI Code Detail

MEDICARE: TONYA SPARKS

MEDICARE: TONYA SPARKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1750230579
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONYA SPARKS
Provider Business Mailing Address
First Line : 7780 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-4306
Country : US
Telephone Number : 916-329-8428
Fax Number :
Provider Business Practice Location Address
First Line : 7780 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-4306
Country : US
Telephone Number : 916-329-8428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “ TONYA SPARKS ” Practice Location

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