Individual provider Active NPI

Allyson Rose Starman, MS LCGC

  • Genetics Clinic/Center
  • San Jose, CA
National Provider Identifier
1154113777
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
License
GC000539 Issued in CA
Practice address
751 S Bascom Ave Ste 210
San Jose, CA 95128-2699
Phone
(408) 793-2500
Fax
(408) 885-3225
NPI assigned
May 20, 2025
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X GC000539 CA Primary

Addresses

Primary practice location

751 S Bascom Ave Ste 210
San Jose, CA 95128-2699

Mailing address

84 Bentley Ave
Los Gatos, CA 95030-6003
Phone (805) 423-5235

Other names 1

  • Allyson Rose Walters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
GC000539CAMDGenetics Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1154113777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BENTLEY AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306003",
            "telephone_number": "805-423-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 S BASCOM AVE STE 210",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282699",
            "telephone_number": "408-793-2500",
            "fax_number": "408-885-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARMAN",
        "first_name": "ALLYSON",
        "middle_name": "ROSE",
        "credential": "MS LCGC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "CA",
            "license": "GC000539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYSON",
            "last_name": "WALTERS",
            "middle_name": "ROSE",
            "credential": "MS LCGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.