D STARKS MD INCORPORATED (NPI# 1154555795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154555795 |
| Entity Type | Organization |
| Organization Name | D STARKS MD INCORPORATED |
| Practice Address |
5153 Holt Blvd Suite B-2 Montclair CA 91763-4837 |
| Practice Telephone | 9096250661 |
| Practice Fax Number | 9096257761 |
| Mailing Telephone | 9096250661 |
| Mailing Fax Number | 9096257761 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |
| Authorized Official Name | DR. D'MITRI STARKS (CEO) |
| Authorized Official Telephone | 9096250661 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G49823 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G498230 | 05 |
| Street Address |
5153 HOLT BLVD SUITE B-2 |
| City | MONTCLAIR |
| State | CA |
| Zip Code | 91763-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720050842 | Sodabeh Rahimy | Internal Medicine | 5153 Holt Blvd, Suite B1, Montclair, CA 91763-4837 | 2006-02-02 |
| 1649714734 | Starks Medical Group A Professional Corporation | Obstetrics & Gynecology | 5153 Holt Blvd, Suite B2, Montclair, CA 91763-4837 | 2016-12-08 |
| 1467756353 | Holt Dental Center | Dentist | 5153 Holt Blvd, A2, Montclair, CA 91763-4837 | 2011-01-06 |
| 1639308679 | Holt Dental Center | Dentist | 5153 Holt Blvd, Suit A2, Montclair, CA 91763 | 2009-07-13 |
| 1922206283 | Eastwest Physical Therapy Inc | Clinic/Center | 5153 Holt Blvd, Suite A-1, Montclair, CA 91763-4837 | 2007-07-10 |
| 1568682003 | Cecille Ho | Dentist | 5153 Holt Blvd, A2, Montclair, CA 91763-4820 | 2007-04-26 |
| 1689719957 | Ifeoma Ugwu | Pharmacist | 5153 Holt Blvd, Suite A-6, Montclair, CA 91763-4820 | 2007-02-21 |
| 1205873866 | Dung Tran | Physical Therapist | 5153 Holt Blvd, A-1, Montclair, CA 91763-4837 | 2006-06-01 |
| 1831140847 | Orie Inc. | Pharmacy | 5153 Holt Blvd, Ste A6, Montclair, CA 91763-4837 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
| 1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
| 1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
| 1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
| 1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
| 1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
| 1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
| 1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
| 1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
| 1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
| Find all providers in zip 91763 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.