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

Individual provider Independent Duty Corpsman · NPI 1639782899

Tyler Collin Sparks is an Independent Duty Corpsman in Camp Pendletion, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1 Mrb
Camp Pendletion, CA 92055
Phone: (760) 725-5298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X (CA)

Record details

NPI number1639782899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2020
Last updated in NPPESAugust 27, 2020
Certification dateAugust 24, 2020