Daystar Medical Corporation

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DAYSTAR MEDICAL CORPORATION

Practice address

954 W Foothill Blvd
#B
Upland, CA 91786-3713

Phone

(714) 619-2454

Fax

(714) 619-2453

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dimitri Sirakoff, DO

Title

President

Phone

(714) 619-2443

Specialties & licenses 3

Addresses

Other names 1

• Foothill Medical Clinic Doing business as

Tax ID family

Daystar Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daystar Medical Corporation

  • Acupuncturist
  • Santa Ana, CA
  • NPI 1912046285
  NPD tax ID

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1114066438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E 17TH STREET",
            "address_2": "SUITE 202",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012341",
            "telephone_number": "714-619-2443",
            "fax_number": "714-619-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD",
            "address_2": "#B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863713",
            "telephone_number": "714-619-2454",
            "fax_number": "714-619-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSTAR MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIRAKOFF",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-619-2443",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josh-Shua Davis, BA
• Dawn M Terashita, PC
• Dawson Dialysis LLC
• Theresa Dawson
• Decerie Baculi Dayag, MD
• Michelle Angela Dazalla, LMFT
• Tiffany De Jesus
• Sabrina Serah De Leon
• Megan Dean, RN, IBCLC
• Deborah Vandenboom

• Acupuncturist in Upland, CA
• Providers in Upland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.