Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespark Health and Wellness Nursing PC

Organization Nurse Practitioner · NPI 1063214179

Lifespark Health and Wellness Nursing PC is a Nurse Practitioner in Roseville, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Diamond Creek Pl Ste 100
Roseville, CA 95747-7592
Phone: (916) 949-1258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1063214179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramneek Kahlon — President & Ceo · (916) 949-1258
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address1253 Vista Verde Dr, Roseville, CA 95747-9656

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