BRANDON STARK (NPI# 1548795172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548795172 |
| Entity Type | Individual |
| Full Name | BRANDON STARK |
| Practice Address |
1000 West Carson St Torrance CA 90509 |
| Mailing Address |
1500 W Pacific Coast Hwy Apt 261 Wilmington CA 90744-1853 |
| Practice Telephone | 8322472025 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1000 WEST CARSON ST |
| City | TORRANCE |
| State | CA |
| Zip Code | 90509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194906586 | Cynthia Lorenzo | Pathology | 1000 West Carson St, Torrance, CA 90509 | 2007-11-14 |
| 1447780820 | Donna Dayrit Young | Registered Nurse | 1000 West Carson St, Torrance, CA 90509 | 2017-06-18 |
| 1588198204 | Sonny Truong Nguyen | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, Torrance, CA 90509 | 2017-04-19 |
| 1477908911 | Tyler Hughes | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, 4th Floor, Box 422, Torrance, CA 90509 | 2016-05-03 |
| 1538592522 | Chie Kurihara | Student in an Organized Health Care Education/Training Program | 1000 West Carson St, Box 17, Torrance, CA 90509 | 2013-08-14 |
| 1457679631 | Jeffrey Kim | Psychiatry & Neurology | 1000 West Carson St, La County Harbor-ucla Medical Center, Torrance, CA 90509 | 2010-05-12 |
| 1386811909 | Alina Gorgorian | Psychologist | 1000 West Carson St, Torrance, CA 90509 | 2008-05-13 |
| 1780858969 | Shobha Gautam | Case Manager/Care Coordinator | 1000 West Carson St, Harbor Ucla Medical Center Psych Er, Torrance, CA 90502 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1811444946 | Enoc Elias | Counselor | 1000 W Carson St, Box 498, Torrance, CA 90509 | 2016-09-07 |
| 1013362417 | Sonam Ghanshyam Kapadia | Student in an Organized Health Care Education/Training Program | 1000 W. Carson Street, Box 461, Torrance, CA 90509 | 2016-05-04 |
| 1902280548 | Nicholas Dabai | Student in an Organized Health Care Education/Training Program | 1000 W. Carson St. Box 461, Harbor-ucla Medical Center, Torrance, CA 90509 | 2015-07-14 |
| 1497172332 | Amber Bridges | Specialist | 1000 W. Carson Street, Box 8, Torrance, CA 90509 | 2014-03-27 |
| 1871914457 | Syrone Liu | Radiology | 1000 W. Carson St., Box 27, Torrance, CA 90509 | 2013-12-26 |
| 1316225592 | Nishant Mukesh Gandhi | Student in an Organized Health Care Education/Training Program | 1000 W Carson St, Box 400, Torrance, CA 90509 | 2011-07-22 |
| 1689952863 | Sharon Hartmans | Student in an Organized Health Care Education/Training Program | 1000 W Carson St. Box 400, Torrance, CA 90509 | 2011-07-22 |
| 1134453236 | Department of Mental Health | Psychiatric Hospital | 21730 S. Vermont Avenue, Suite 210, Torrance, CA 90509 | 2009-09-23 |
| 1649405895 | Claire Park | Internal Medicine | 1000 W.carson Street, Endocrinology, Box 446., Torrance, CA 90509 | 2009-05-18 |
| Find all providers in zip 90509 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1205448669 | Jonathan Anhduy Tran | Student in an Organized Health Care Education/Training Program | 2461 W 230th Pl, Torrance, CA 90501-5206 | 2020-08-18 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1588289623 | Elizabeth Lopez Escobar | Student in an Organized Health Care Education/Training Program | 1626 W 209th St Apt 8, Torrance, CA 90501-1937 | 2020-06-15 |
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1912490681 | Catherine Marie Peters | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Bldg D5.5, Torrance, CA 90502-2004 | 2018-06-07 |
| 1376040667 | Jenny Hung | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Fl 6, Torrance, CA 90502-2004 | 2018-04-12 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| Find all providers in TORRANCE | ||||
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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.