Starr Light Express

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

STARR LIGHT EXPRESS

Practice address

815 Myrtle St
Fort Bragg, CA 95437-5530

Phone

(707) 348-2294

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Jason Fruth

Title

Co-Owner

Phone

(707) 348-2294

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1689310674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 MYRTLE ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375530",
            "telephone_number": "707-348-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 MYRTLE ST",
            "city": "FORT BRAGG",
            "state": "CA",
            "postal_code": "954375530",
            "telephone_number": "707-348-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR LIGHT EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "FRUTH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "707-348-2294"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Kyle Smith, O.D.
• Maureen Smyth
• Mike Garrett Spaar
• Donavan D Spencer, MD
• Sherrill Spires, PH.D., RPH
• David Todd Stein, LCSW
• Stephen Pinsk, M.D., Inc.
• Pamela Joy Steward, MS, LMFT
• Natalie Maria Stewart, RPH
• Anthony Suarez Morales

• Private Vehicle in Fort Bragg, CA
• Providers in Fort Bragg, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.