Ken Starr MD Wellness Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

KEN STARR MD WELLNESS GROUP

Practice address

107 Nelson St
Arroyo Grande, CA 93420-3318

Phone

(626) 797-9977

Fax

(626) 844-2977

NPI assigned

Nov 22, 2013

Last updated

Jul 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ken Starr

Title

Owner

Phone

(626) 797-9977

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ken Starr MD Wellness Group2 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.

• Kenneth Starr MD Inc

  • Case Management Agency
  • Los Osos, CA
  • NPI 1255753075
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Starr, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Arroyo Grande, CA
  • NPI 1861431595
  NPD
• Elaine Shaver Power, LMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
  • NPI 1659715100
  NPD (past)
• Catherine Margaret Stanton, RN

  • Infusion Therapy Registered Nurse
  • Arroyo Grande, CA
  • NPI 1255907028
  NPD (past)
• Kristen Robin Patrickson, MA

  • Mental Health Counselor
  • Reno, NV
  • NPI 1083153829
  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1598195810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NELSON ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93420",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NELSON ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203318",
            "telephone_number": "626-797-9977",
            "fax_number": "626-844-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN STARR MD WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-797-9977"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arya Lee Jones, LMFT
• David Edward Jones, P.T.
• Randall Leigh Jost, LMFT
• Pankaj Kumar Karan, MD INTERNAL MEDICINE
• Leon Jason Keck, R.PH.
• Ashley Kieffe
• Meredith Kincaide, CCC-SLP
• Nicholas A King, M.D.
• Shrederick Charles King Jr., OTR/L
• Lindsey E Kitto

• Multi-Specialty Clinic/Center in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.