Active NPI
Starcania Danielle Ford
- Home Modifications Contractor
- Lakewood, CA
National Provider Identifier
1497031173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 9771
- Practice address
- 5242 Hayter Ave
5
Lakewood, CA 90712-2331 - Phone
- (424) 236-8027
- Fax
- (424) 236-8027
- NPI assigned
- Oct 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 9771 | CA | Primary |
Addresses
Primary practice location
5242 Hayter Ave
5
Lakewood, CA 90712-2331
Mailing address
PO Box 1091
Lakewood, CA 90714-1091
Phone (424) 236-8027
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9771 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1497031173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1091",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907141091",
"telephone_number": "424-236-8027",
"fax_number": "424-236-8027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5242 HAYTER AVE",
"address_2": "5",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907122331",
"telephone_number": "424-236-8027",
"fax_number": "424-236-8027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "STARCANIA",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "CA",
"license": "9771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.