Start Up Wellness, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

START UP WELLNESS, INC.

Practice address

325 Wilshire Blvd Ste 201
Santa Monica, CA 90401-1398

Phone

(310) 773-0039

NPI assigned

Nov 17, 2022

Organization subpart

No

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

Authorized official

Name

Jeffey Vann

Title

President

Phone

(323) 712-9090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1497464572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011398",
            "telephone_number": "310-773-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011398",
            "telephone_number": "310-773-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START UP WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "JEFFEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-712-9090"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Pearl Stark, PSY.D.
• Mary Patricia Starks, MA, RC
• Starr Child Foundation
• Starrchild Foundation
• Start Now Health, Inc.
• Kira Anne Stasyshan
• Rebecca Staton, PH.D.
• Alexandra Stavrakis, MD
• Steele Physical Therapy Inc
• Megan Steele

• Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.