Healthcare Provider Details

I. General information

NPI: 1720928047
Provider Name (Legal Business Name): NEECA DE CASTRO SPARKS VANGYI MS, RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3629 W REDLANDS AVE
FRESNO CA
93722-4755
US

IV. Provider business mailing address

3724 JEFFERSON ST STE 104
AUSTIN TX
78731-6204
US

V. Phone/Fax

Practice location:
  • Phone: 559-457-8623
  • Fax:
Mailing address:
  • Phone: 512-693-7045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86302057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: