Organization Active NPI

Robert G. Starr M.D., Inc

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1609071323
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A78105 Issued in CA
Legal business name
ROBERT G. STARR M.D., INC
Practice address
7677 Center Ave Ste 204
Huntington Beach, CA 92647-9102
Phone
(858) 558-8488
Fax
(858) 558-1537
NPI assigned
Jun 21, 2007
Last updated
Apr 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Miss Janet Carol Giguere
Title
Account Manager
Phone
(858) 558-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A78105 CA Primary

Addresses

Primary practice location

7677 Center Ave Ste 204
Huntington Beach, CA 92647-9102

Mailing address

7677 Center Ave Ste 204
Huntington Beach, CA 92647-9102
Phone (858) 558-8488

Other identifiers 2

IdentifierTypeStateIssuer
P00180222OtherCAMEDICARE
00A781051MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000884 CA Part B Supplier - Clinic/Group Practice 3072505320 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1609071323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479102",
            "telephone_number": "858-558-8488",
            "fax_number": "858-558-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 CENTER AVE STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926479102",
            "telephone_number": "858-558-8488",
            "fax_number": "858-558-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. STARR M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "GIGUERE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "858-558-8488",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A78105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P00180222",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A781051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.