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Contact Information

SPARCC PROFESSIONAL CORPORATION
5199 E FARNESS DR
STE 101
TUCSON, AZ85712-5617
 Phone: 520-222-8076
 Fax: 520-300-7156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Optometrist

152W00000X 41 Optometry
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SPARCC PROFESSIONAL CORPORATION

NPI Number 1003275413
LBN Legal business name SPARCC PROFESSIONAL CORPORATION
Authorized official MOHAMMED MORTAZAVI - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/12/2016
Last updated 04/20/2026 - About 2 months ago
Identifiers
AZ License # 49421
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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