Active NPI
Slava Starobinets, PHARM D.
- Infectious Diseases Pharmacist
- Gardena, CA
National Provider Identifier
1639869274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Diseases Pharmacist
- License
- 72012
- Practice address
- 19300 S Hamilton Ave Ste 130
Gardena, CA 90248-4418 - Phone
- (877) 429-0708
- NPI assigned
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Diseases Pharmacist | 1835I0206X | 61205792 | WA | |
| Infectious Diseases Pharmacist | 1835I0206X | 72012 | CA | Primary |
Addresses
Primary practice location
19300 S Hamilton Ave Ste 130
Gardena, CA 90248-4418
Mailing address
415 E Mission Rd Unit 12
Alhambra, CA 91801-6116
Phone (323) 899-0624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72012 | CA | MD | Medical license number |
| 61205792 | WA | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1639869274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E MISSION RD UNIT 12",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918016116",
"telephone_number": "323-899-0624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 S HAMILTON AVE STE 130",
"city": "GARDENA",
"state": "CA",
"postal_code": "902484418",
"telephone_number": "877-429-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAROBINETS",
"first_name": "SLAVA",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835I0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Infectious Diseases",
"state": "WA",
"license": "61205792",
"primary": false
},
{
"code": "1835I0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Infectious Diseases",
"state": "CA",
"license": "72012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.