Active NPI
Twelve Stars Inc
- Adult Day Care Clinic/Center
- La Mesa, CA
National Provider Identifier
1083315071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.