Starry Night Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

G48660 Issued in CA

Legal business name

STARRY NIGHT INC

Practice address

46356 Warm Springs Blvd
Fremont, CA 94539-7021

Phone

(510) 713-1300

Fax

(510) 713-7202

NPI assigned

Dec 17, 2009

Organization subpart

No

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

Authorized official

Name

Evelyn E Li, MD

Title

Medical Director

Phone

(510) 713-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1811226079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14858",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945391858",
            "telephone_number": "510-713-1300",
            "fax_number": "510-713-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46356 WARM SPRINGS BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945397021",
            "telephone_number": "510-713-1300",
            "fax_number": "510-713-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRY NIGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-713-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "G48660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Stanley
• Mercy Stanley
• Beverly Janet Stanton, R.N.
• Starcare Home Health LLC
• Lauren E Stark, PA-C
• Jodie Statham
• Matthew C Stauffer, P.T.
• Jennifer Jane Staveley, PSYD
• Charleen Stearns, M.A
• Melinda Jenny Steele, MD

• Clinical Medical Laboratory in Fremont, CA
• Providers in Fremont, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.