DAYSTAR MEDICAL CORPORATION (NPI# 1114066438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114066438 |
| Entity Type | Organization |
| Organization Name | DAYSTAR MEDICAL CORPORATION |
| Other Organization Name | FOOTHILL MEDICAL CLINIC |
| Practice Address |
954 W Foothill Blvd #b Upland CA 91786-3713 |
| Mailing Address |
1206 E 17th Street Suite 202 Santa Ana CA 92701-2341 |
| Practice Telephone | 7146192454 |
| Practice Fax Number | 7146192453 |
| Mailing Telephone | 7146192443 |
| Mailing Fax Number | 7146192453 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIMITRI SIRAKOFF (PRESIDENT) |
| Authorized Official Telephone | 7146192443 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | Chiropractic Providers | ||
| X | 171100000X | Acupuncturist | Other Service Providers | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Foothill Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912046285 | Daystar Medical Corporation | Chiropractor | 1206 E 17th Street, Suite 202, Santa Ana, CA 92701-2341 | 2007-02-05 |
| 1477607711 | Daystar Medical Corporation | Chiropractor | 1206 E 17th Street, Suite 202, Santa Ana, CA 92701-2341 | 2007-01-23 |
| Street Address |
954 W FOOTHILL BLVD #B |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434951 | Stacey M Sanderson | Marriage & Family Therapist | 954 W Foothill Blvd, Ste A, Upland, CA 91786-3782 | 2005-11-18 |
| 1528532603 | Sarah Mary Carter | Nurse Practitioner | 954 W Foothill Blvd, Suite A, Upland, CA 91786 | 2019-01-11 |
| 1730500620 | William David Glasser | Nurse Practitioner | 954 W Foothill Blvd, Upland, CA 91786-3782 | 2013-12-19 |
| 1528365319 | Nation Medical Group | Orthopaedic Surgery | 954 W Foothill Blvd, Suite B, Upland, CA 91786-3782 | 2011-02-14 |
| 1528112174 | Jc Max Pharmacy | Pharmacy | 954 W Foothill Blvd, Suite #6d, Upland, CA 91786-3782 | 2007-01-22 |
| 1639152382 | Susan S Courtney | Psychologist | 954 W Foothill Blvd, #a, Upland, CA 91786 | 2005-11-28 |
| 1619950748 | Frederick Chu | Psychologist | 954 W Foothill Blvd, Suite A, Upland, CA 91786 | 2005-11-22 |
| 1528041654 | Robert B Gordon | Psychiatry & Neurology | 954 W Foothill Blvd, Suite A, Upland, CA 91786-3782 | 2005-11-22 |
| 1710960877 | James Douglas Rodick | Psychologist | 954 W Foothill Blvd, Foothills Psychological Services Suite A, Upland, CA 91786-3782 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245865807 | Lydia Guirges | Chiropractor | 167 S 3rd Ave, Upland, CA 91786-6672 | 2020-03-04 |
| 1134771058 | Ahava Chiropractic A Rosas Corporation | Chiropractor | 481 N Central Ave Ste B, Upland, CA 91786-7283 | 2019-07-11 |
| 1083076889 | Mark Waterman Chiropractic Corporation | Chiropractor | 2440 W Arrow Rte, Ste 5a, Upland, CA 91786-9449 | 2016-03-22 |
| 1730506403 | Michael Fauce | Chiropractor | 1449 Marigold St, Upland, CA 91784-7326 | 2014-03-19 |
| 1922431733 | Raul Castillo | Chiropractor | 659 E 15th St Ste D, Upland, CA 91786-2333 | 2013-08-15 |
| 1003186792 | Alfred Salomon Garcia | Chiropractor | 1125 E 16th St, Upland, CA 91784-9179 | 2012-01-11 |
| 1124357496 | Flory Atlas Spinal Chiropractic Care PC | Chiropractor | 2335 W Foothill Blvd, Suite 20, Upland, CA 91786-3575 | 2009-12-16 |
| 1255527172 | Robert Patrick Byrne | Chiropractor | 481 North Central Avenue, Suite B, Upland, CA 91786 | 2007-09-25 |
| 1699971564 | Christalyn Ann Young | Chiropractor | 1523 Howard Access Road, Suite B, Upland, CA 91786-2582 | 2007-06-26 |
| 1255534269 | Weaver-ratkovic Chiropractic, Inc. | Chiropractor | 60 E. Foothill Blvd., Suite A, Upland, CA 91786-3984 | 2007-06-07 |
| Find all providers in UPLAND | ||||
Please comment or provide details below to improve the information on DAYSTAR MEDICAL CORPORATION.
| 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.