Healthcare Provider Details

I. General information

NPI: 1659229060
Provider Name (Legal Business Name): MR. JON JOSEPH SPREKELMEYER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N MAIN ST
SANTA ANA CA
92701-3602
US

IV. Provider business mailing address

1010 N MAIN ST
SANTA ANA CA
92701-3602
US

V. Phone/Fax

Practice location:
  • Phone: 714-760-0900
  • Fax:
Mailing address:
  • Phone: 714-760-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number1CF1C9944E
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: