Starcare Medical Group, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

STARCARE MEDICAL GROUP, INC.

Practice address

1920 E 17TH St
Suite 200
Santa Ana, CA 92705-8626

Phone

(714) 796-5900

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Lily Kam

Title

Cfo

Phone

(714) 796-5900

Specialties & licenses 1

Addresses

Other names 1

• Gateway Medical Group, Inc. Doing business as

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1255452827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "714-796-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 E 17TH ST",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058626",
            "telephone_number": "714-796-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "KAM",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-796-5900"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Stange
• Carmen Emilia Stanish, REGISTERED NURSE08
• Brianna Nicole Stanley
• Timothy Andrew Stanovich, SUD COUNSELOR
• Donna Stapp, MFT
• Amy Louise Stark, PHD
• Danae Marie Starkey
• Start Fresh Alcohol Recovery Clinic
• Carol Anne Stashik, LCSW
• Dominic Anthony Stashik

• Health Maintenance Organization in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.