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LISA LAM SPARKS NP
NPI 1780210989
Nurse Practitioner - Family in Fontana, CA

Active since March 19, 2020PECOS EnrolledAccepts Medicare Assignment
16465 SIERRA LAKES PKWY, FONTANA, CA 92336(909) 434-1150 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2023, Sep 27, 2022, Sep 2, 2020 and 3 more (6 updates tracked since 2020).

About Lisa Lam Sparks Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA LAM SPARKS NP (NPI 1780210989) is an individual family provider in Fontana, California, licensed in California (95014189) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780210989
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA LAM SPARKSCredential: NP
Location Address16465 SIERRA LAKES PKWYFontana, CA 92336-1242
Mailing Address16465 Sierra Lakes PkwyFontana, CA 92336-1242 · (909) 434-1150
Phone(909) 434-1150
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 19, 2020
Last NPPES UpdateAugust 24, 20236 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
✔ NPI 1780210989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95014189
16465 SIERRA LAKES PKWY, Fontana, CA 92336
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Lam Sparks Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072930015
PECOS Enrollment IDI20200904000970
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN VIEW URGENT CARE GROUP, INC
Emergency Medicine
16465 SIERRA LAKES PKWY, SUITE 100
FONTANA, CA 92336
San Bernardino County (909) 434-1150
KATHRYN CHANG LIN MD
Pediatrics
16465 SIERRA LAKES PKWY, STE 245
FONTANA, CA 92336
San Bernardino County (909) 829-7337
ALAV MEDICAL CORPORATION
Family Medicine
16465 SIERRA LAKES PKWY, STE 220
FONTANA, CA 92336
San Bernardino County (909) 434-1123
DIANA M NAM MD
Pediatrics
16465 SIERRA LAKES PKWY, SUITE 250
FONTANA, CA 92336
San Bernardino County (909) 829-7337
TAMEEM HAZEM SABRY PA-C
Physician Assistant (Medical)
16465 SIERRA LAKES PKWY, STE 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
LAUREN KELLY CROSTIC PA-C
Physician Assistant
16465 SIERRA LAKES PKWY, 300
FONTANA, CA 92336
San Bernardino County (909) 429-2864
ASHAPURIMAA INC
Pharmacy (Community/Retail Pharmacy)
16465 SIERRA LAKES PKWY, STE 110
FONTANA, CA 92336
San Bernardino County (909) 574-9620
DR. MAGED FAYEZ IBRAHIM M.D.
Pediatrics
16465 SIERRA LAKES PKWY
FONTANA, CA 92336
San Bernardino County (909) 823-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Sparks's NPI number?

The NPI number for Lisa Sparks is 1780210989. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Lisa Sparks located?

Lisa Sparks practices at 16465 Sierra Lakes Pkwy, Fontana, CA 92336. The listed phone number is (909) 434-1150.

What is Lisa Sparks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Sparks enrolled in Medicare?

Yes. Lisa Sparks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Sparks was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.