Active NPI
Star Community Service, Inc.
- Health Maintenance Organization
- Los Angeles, CA
National Provider Identifier
1518160654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- STAR COMMUNITY SERVICE, INC.
- Practice address
- 7014 W Sunset Blvd
Los Angeles, CA 90028-7510 - Phone
- (323) 463-4000
- Fax
- (323) 463-4040
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Galina Kopelev
- Title
- Administrator
- Phone
- (323) 463-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | CA | Primary |
Addresses
Primary practice location
7014 W Sunset Blvd
Los Angeles, CA 90028-7510
Mailing address
7014 W Sunset Blvd
Los Angeles, CA 90028-7510
Phone (323) 463-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ADU70333F | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184716800000",
"number": "1518160654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7014 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287510",
"telephone_number": "323-463-4000",
"fax_number": "323-463-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7014 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287510",
"telephone_number": "323-463-4000",
"fax_number": "323-463-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR COMMUNITY SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2007-07-18",
"status": "A",
"authorized_official_last_name": "KOPELEV",
"authorized_official_first_name": "GALINA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "323-463-4000"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ADU70333F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Syreeta Staples
- Narissa Stapleton
- Star Ambulace Transportation
- Star Ambulatory Surgery Center, Inc.
- Star Chiropractic and Rehabilitation (Align Physical Therapy & Chiropractic)
- Star Medical Transit Corp
- Star Mobile Urgent Care PC
- Star Pharmacy Inc (Star Pharmacy)
- Star Sports & Acupuncture Clinic Inc.
- Star View Behavioral Health, Inc. (Star View Community Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.