DR. RICHARD W STARRETT (NPI# 1104847656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104847656 |
| Entity Type | Individual |
| Full Name | DR. RICHARD W STARRETT |
| Credential | MD |
| Practice Address |
2512 Samaritan Ct Ste E San Jose CA 95124-4002 |
| Practice Telephone | 4083588272 |
| Practice Fax Number | 4083567779 |
| Mailing Telephone | 4083588272 |
| Mailing Fax Number | 4083567779 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G22010 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G220100 | 05 | |
| CA | RAILROAD MEDICARE PIN | 756021161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138130 | Richard Alton Starrett | Psychologist | 24511 W Jayne Ave, Box 5000, Coalinga, CA 93210-9503 | 2010-07-07 |
| 1003809443 | Richard P Starrett | Family Medicine | 1021 June St, Suite 103, Hood River, OR 97031-1516 | 2005-08-30 |
| Street Address |
2512 SAMARITAN CT STE E |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013060672 | Vascular Associates of Northern California | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2007-01-18 |
| 1366463812 | Roger M Hayashi | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861413320 | John Gray Brawley IIi | Surgery | 751 S. Bascom Avenue Ste 340, Valley Specialty Center, Division of Vascular Surgery, San Jose, CA 95128 | 2006-07-21 |
| 1811994445 | Emil A. Anaya | Surgery | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2005-06-28 |
| 1871627463 | Emil A Anaya Md, Inc. A Medical Corporation | Surgery | 105 N Bascom Ave, Suite 104, San Jose, CA 95128-1811 | 2007-03-15 |
| 1730229261 | Glenn R. Romualdo | Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2007-02-07 |
| 1013060672 | Vascular Associates of Northern California | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2007-01-18 |
| 1235215740 | Everett Y. Lam | Surgery | 260 International Cir, San Jose, CA 95119-1130 | 2006-10-27 |
| 1366463812 | Roger M Hayashi | Surgery | 2512 Samaritan Ct Ste E, San Jose, CA 95124-4002 | 2006-07-21 |
| 1265453724 | David W Chang | Surgery | 2512 Samaritan Ct, Suite E, San Jose, CA 95124-4002 | 2006-07-21 |
| 1942238241 | Peter J Schubart | Surgery | 455 Oconnor Dr, Suite 370, San Jose, CA 95128-1633 | 2006-06-28 |
| 1487691606 | Jafar Tay | Surgery | 105 N Bascom Ave, Ste 104, San Jose, CA 95128 | 2006-05-31 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.