Organization Active NPI

Twelve Stars Inc

  • Adult Day Care Clinic/Center
  • La Mesa, CA
National Provider Identifier
1083315071
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TWELVE STARS INC
Practice address
9158 Fletcher Pkwy
La Mesa, CA 91942-3449
Phone
(619) 357-7753
Fax
(619) 439-6038
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tamara Kako
Title
Owner/Corporate Secretary
Phone
(619) 916-8529

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

9158 Fletcher Pkwy
La Mesa, CA 91942-3449

Mailing address

14883 Crystal View Rd
El Cajon, CA 92021-2804

National Provider Directory

National Provider Directory

Locations

9158 Fletcher Pkwy
La Mesa, CA 91942
Phone (619) 357-7753

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1083315071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14883 CRYSTAL VIEW RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920212804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9158 FLETCHER PKWY",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423449",
            "telephone_number": "619-357-7753",
            "fax_number": "619-439-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE STARS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "KAKO",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER/CORPORATE SECRETARY",
        "authorized_official_telephone_number": "619-916-8529"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.