Organization Active NPI

Starbright Medical Clinic Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Encino, CA
National Provider Identifier
1902605108
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
STARBRIGHT MEDICAL CLINIC INC
Practice address
17071 Ventura Blvd Ste 104
Encino, CA 91316-4142
Phone
(213) 852-6006
NPI assigned
Mar 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Abdul Rab Khan, MD
Title
Ceo/Owner
Phone
(213) 852-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

17071 Ventura Blvd Ste 104
Encino, CA 91316-4142

Mailing address

17071 Ventura Blvd Ste 104
Encino, CA 91316-4142
Phone (213) 852-6006

National Provider Directory

National Provider Directory

Locations

17071 Ventura Blvd
Ste 104
Encino, CA 91316
Phone (213) 852-6006

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1902605108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17071 VENTURA BLVD STE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164142",
            "telephone_number": "213-852-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17071 VENTURA BLVD STE 104",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164142",
            "telephone_number": "213-852-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARBRIGHT MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAB",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "213-852-6006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.