Star Iuli Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

M79404722 Issued in AZ

Practice address

10718 E Arbor Ave
Mesa, AZ 85208-8743

Phone

(619) 669-8812

NPI assigned

Jan 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1750032710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 E ARBOR AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852088743",
            "telephone_number": "619-669-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 E ARBOR AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852088743",
            "telephone_number": "619-669-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IULI",
        "first_name": "STAR",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "AZ",
            "license": "M79404722",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "M79404722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Israel
• Flora Issanda Stowater, NP
• It Sense LLC
• Itc Personal in-Home Care
• Itc Personal in-Home Care LLC
• Deanna Iverson, M.ED.C.
• Michele Nicole Iverson, BA, CLINICIAN I
• Ivy in-Home Care Services Inc.
• Faye Iwueke
• Iyali Mental Wellness LLC

• Non-emergency Medical Transport (VAN) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.