Kenneth Starr MD Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KENNETH STARR MD INC

Practice address

1320 Van Beurden Dr
Ste 103
Los Osos, CA 93402-3380

Phone

(626) 797-9977

Fax

(929) 737-8705

NPI assigned

Jan 14, 2014

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Gray

Title

Insurance Coordinator

Phone

(626) 797-9977

Specialties & licenses 2

Addresses

Tax ID family

Ken Starr MD Wellness Group2 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.

• Ken Starr MD Wellness Group

  • Multi-Specialty Clinic/Center
  • Arroyo Grande, CA
  • NPI 1598195810
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Starr, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Arroyo Grande, CA
  • NPI 1861431595
  NPD

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1255753075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAR VISTA DR",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 VAN BEURDEN DR",
            "address_2": "STE 103",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023380",
            "telephone_number": "626-797-9977",
            "fax_number": "929-737-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH STARR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "626-797-9977"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George E. Janeway Jr., D.D.S.
• Steven Scott Jio, OD
• Joseph Boehm, P.T. (Los Osos Physical Therapy)
• Lauren Kaida, RD
• Greg Wayne Kaiser, OD
• Kobliska Dental Corporation (Los Osos Valley Dentistry)
• Michael Kobliska, D.D.S.
• Robert A Kumabe, DDS
• Katharine Stone Lawler, AMFT
• Lewis Gamarra MD PC

• Case Management Agency in Los Osos, CA
• Providers in Los Osos, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.