Stark Family Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STARK FAMILY CHIROPRACTIC INC.

Practice address

17922 Magnolia St
Fountain Valley, CA 92708-5039

Phone

(714) 887-7009

Fax

(714) 968-4384

NPI assigned

Jul 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lysa Nemiroff Stark, DCNPI 1598880270

Title

Chiropractor/ Co-Owner

Phone

(714) 887-7009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Craig Stark, D.C.

  • Chiropractor
  • Los Alamitos, CA
  • NPI 1568674737
  Medicare reassignment
• Lysa Stark, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1598880270
  NPD (past) Authorized official

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1497138424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17922 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085039",
            "telephone_number": "714-887-7009",
            "fax_number": "714-968-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17922 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085039",
            "telephone_number": "714-887-7009",
            "fax_number": "714-968-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK FAMILY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "LYSA",
        "authorized_official_middle_name": "NEMIROFF",
        "authorized_official_title_or_position": "CHIROPRACTOR/ CO-OWNER",
        "authorized_official_telephone_number": "714-887-7009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Catherine Health Care Providers
• Carla St Laurent, MD
• St. Joseph - St. Theresa Medical, Inc.
• Jaime Ann Stahl, BCBA
• Harriet G. Stallings, O.D.
• Lysa Stark, D.C.
• Lindsay Stash
• Stat Pulseox & Diagnostics LLC
• Stephanie Rochelle Steel
• Helen Elaine Steele, MD

• Chiropractor in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.