Active NPI
Karin M Starr, PA
- Physician Assistant
- San Bernardino, CA
National Provider Identifier
1780675272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15951
- Practice address
- 5500 University Pkwy
Csusb Student Health Center
San Bernardino, CA 92407-2318 - Phone
- (909) 537-5241
- Fax
- (909) 537-5241
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15951 | CA | Primary |
Addresses
Primary practice location
5500 University Pkwy
Csusb Student Health Center
San Bernardino, CA 92407-2318
Mailing address
5500 University Pkwy
Csusb Student Health Center
San Bernardino, CA 92407-2318
Phone (909) 537-5241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617001883 | CA | Order and Referring Only - Physician Assistant | 3476622663 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15951 | CA | MD | Speech-Language Pathologist |
| PA15951 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1780675272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 UNIVERSITY PKWY",
"address_2": "CSUSB STUDENT HEALTH CENTER",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072318",
"telephone_number": "909-537-5241",
"fax_number": "909-537-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 UNIVERSITY PKWY",
"address_2": "CSUSB STUDENT HEALTH CENTER",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072318",
"telephone_number": "909-537-5241",
"fax_number": "909-537-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARR",
"first_name": "KARIN",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
- Barbara Ann Stanfield, D.C.
- Breanna Stanley
- Christopher Briggs Stanley
- Ray'Shon La'Shay Stanley
- Star View Behavioral Health, Inc.
- Stars Behavioral Health Group
- Stars Behavioral Health Group- Valley Star the Stay
- Starshine Treatment Center
- Starshine Treatment Center Inc.
- Starshine Treatment Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.