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

Blake Butler Sparks, MD

Individual provider Plastic Surgery Physician · NPI 1194112870

Blake Butler Sparks, MD is a Plastic Surgery Physician in Irvine, California. Licensed in California and Kentucky. Registered with an NPI since 2015.

Licensed in
CA, KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

113 Waterworks Way Ste 300
Irvine, CA 92618-3174
Phone: (949) 653-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A204050 (CA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 55738 (KY)

Record details

NPI number1194112870
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

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