Sprague Medical Corp
NPI 1689487571ActiveOrganization· Internal Medicine· San Marcos, CA
Internal Medicine in San Marcos, California, registered in NPPES in January 2025. The authorized official on file is Tyler Lee Sprague, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689487571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2025 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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