Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lifespark Health and Wellness Nursing PC

Organization Nurse Practitioner · NPI 1063214179

Lifespark Health and Wellness Nursing PC provides Nurse Practitioner services in Roseville, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Diamond Creek Pl Ste 100
Roseville, CA 95747-7592
Phone: (916) 949-1258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1063214179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramneek Kahlon — President & Ceo · (916) 949-1258
NPI enumeratedMarch 27, 2025
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address1253 Vista Verde Dr, Roseville, CA 95747-9656

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