Spark Physician Assistant Services, Inc.
NPI 1760093454 · Psychiatry Physician · San Pedro, CA
Spark Physician Assistant Services, Inc. is a Psychiatry Physician organization in San Pedro, CA (NPI 1760093454).
Provider details
- NPI number
- 1760093454
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christina Ribao, Owner(323) 379-3611
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Other names (DBA / former)
- Doing business as
- Spark Psychedelic Therapy
- Doing business as
- Spark Psychedelic Therapy
- Doing business as
- Spark Therapeutics
Registry dates
- Enumerated
- 2020-08-14
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Frequently asked questions
- What is Spark Physician Assistant Services, Inc.'s NPI number?
- Spark Physician Assistant Services, Inc.'s National Provider Identifier (NPI) is 1760093454, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Physician Assistant Services, Inc.?
- Spark Physician Assistant Services, Inc. is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Spark Physician Assistant Services, Inc. located?
- Spark Physician Assistant Services, Inc.'s practice location on file with NPPES is 3031 S Denison Ave, San Pedro, CA 90731-6703.
- What is Spark Physician Assistant Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Spark Physician Assistant Services, Inc. is (323) 379-3611.
- Who is the authorized official for Spark Physician Assistant Services, Inc.?
- The authorized official listed on Spark Physician Assistant Services, Inc.'s NPPES record is Christina Ribao, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Physician Assistant Services, Inc.'s NPI active?
- Yes — Spark Physician Assistant Services, Inc.'s NPI (1760093454) is active in the NPPES registry as of the last update on 2020-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.