Organization Active NPI

Star Medical Equipment Services

  • Durable Medical Equipment & Medical Supplies
  • Riverside, CA
National Provider Identifier
1497292346
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
95480 Issued in CA
Legal business name
STAR MEDICAL EQUIPMENT SERVICES
Practice address
11711 Sterling Ave Ste H
Riverside, CA 92503-4973
Phone
(951) 772-0533
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Barlynn Tucker
Title
Operations Manager
Phone
(213) 200-1558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 95480 CA Primary

Addresses

Primary practice location

11711 Sterling Ave Ste H
Riverside, CA 92503-4973

Mailing address

11711 Sterling Ave Ste H
Riverside, CA 92503-4973

National Provider Directory

National Provider Directory
Tax ID family
Star Medical Equipment Services2 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.

Locations

11711 Sterling Ave
Ste H
Riverside, CA 92503
Phone (951) 772-0533

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1497292346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 STERLING AVE STE H",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 STERLING AVE STE H",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034973",
            "telephone_number": "951-772-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MEDICAL EQUIPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "BARLYNN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "213-200-1558"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "95480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.