OrganizationActive
Spa M Medical Corporation
NPI 1609299536 · Family Medicine Physician · Temecula, CA
Provider details
- NPI number
- 1609299536
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dennis Miller, Owner(951) 694-4200
- License
- 20A8981 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27520 Ynez Rd
C5
Temecula, CA 92591-4650
Phone: (951) 694-4200
Street-level locationGet directions
Mailing address
27636 Ynez Rd
Temecula, CA 92591-5600
Registry dates
- Enumerated
- 2014-01-29
- Last updated
- 2014-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.