STEPHANIE STARKS (NPI# 1619380227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619380227 |
| Entity Type | Individual |
| Full Name | STEPHANIE STARKS |
| Practice Address |
508 -2nd St. Covina CA 91723 |
| Mailing Address |
613 E Washington Blvd Apt #5 Pasadena CA 91104-2259 |
| Practice Telephone | 6269748122 |
| Mailing Telephone | 6266444829 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225454549 | Stephanie K. Starks | Social Worker | 175 S 3rd St Ste 200, Columbus, OH 43215-5194 | 2014-03-11 |
| 1780237834 | Stephanie Starks | Student in an Organized Health Care Education/Training Program | 279 Summit Dr, Waterford, MI 48328-3364 | 2019-07-18 |
| Street Address |
508 -2ND ST. |
| City | COVINA |
| State | CA |
| Zip Code | 91723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902320922 | Kimberly Suzanne Manzanares-mora | Rehabilitation Practitioner | 1359 North Grand Avenue, Covina, CA 91724 | 2017-08-01 |
| 1437450210 | Anahuac I Lopez | Rehabilitation Practitioner | 451 S San Jose Ave, Covina, CA 91723-3056 | 2010-11-09 |
| 1548583602 | Lille-anne Nzeribe | Rehabilitation Practitioner | 1126 N. Grand Ave. Suite D, Covina, CA 91724 | 2010-03-03 |
| 1902035827 | Jean Margaret Lawson Saint Hill I | Rehabilitation Practitioner | 4626 N Grand Ave, Suite D, Covina, CA 91724-2055 | 2009-07-13 |
| 1285806075 | Joshua Allen Morrill | Rehabilitation Practitioner | 1411 N Grand Ave Ste 100, Covina, CA 91724-1005 | 2008-04-01 |
| 1477734374 | Artenson Carter | Rehabilitation Practitioner | 221 W Dexter St Apt 5, Covina, CA 91723-2538 | 2007-11-19 |
| 1669503579 | Maritza Mercedes Reyes | Rehabilitation Practitioner | 1411 N. Grand Ave., Covina, CA 91724 | 2007-03-09 |
| 1114057791 | Stacy Smith | Rehabilitation Practitioner | 1411 N Grand Ave, 100, Covina, CA 91724-1001 | 2007-03-06 |
| 1316073257 | Anthony Gonzales | Rehabilitation Practitioner | 19550 E Cienega Ave Apt 69, Covina, CA 91724-4012 | 2007-02-26 |
| 1205979960 | Roxana Maselli | Rehabilitation Practitioner | 4740 N Grand Ave, Covina, CA 91724-2005 | 2007-02-14 |
| Find all providers in COVINA | ||||
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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.