Organization Active NPI

Star Community Service, Inc.

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1518160654
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ADU70333FMedicaidCA

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.