DR. PAUL STARK (NPI# 1780617258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780617258 |
| Entity Type | Individual |
| Full Name | DR. PAUL STARK |
| Credential | M.D. |
| Practice Address |
9500 Gilman Dr Mail Code 9114 La Jolla CA 92093-5004 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 8585528585 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A42370 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A423700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144319161 | Paul John Stark | Dentist | 508 S. Main St., Biwabik, MN 55708 | 2006-10-11 |
| 1790876449 | Paul Hunter Stark | Physical Therapist | 375 N 9th Ave Ste B, Pensacola, FL 32502-4905 | 2006-09-27 |
| Street Address |
9500 GILMAN DR MAIL CODE 9114 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619956380 | Marie Louise Dell'aquila | Medical Genetics | 9500 Gilman Dr, Ucsd Division of Medical Genetics-0639, La Jolla, CA 92093-0639 | 2006-01-11 |
| 1932711421 | Tyler Hatchel | Counselor | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-08-18 |
| 1922619766 | Edward Jeffrey Hodgkin | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-08-14 |
| 1992334007 | Jason Patrick Caffrey | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-04-02 |
| 1609403732 | Mickey Ellis Abraham | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-26 |
| 1184251340 | Sejal Patel | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-26 |
| 1568099125 | Mitchell Jia Zhao | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-24 |
| 1740814425 | Margaret Frances Meagher | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-03 |
| 1487288254 | Oliver Marigold | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-03-02 |
| 1760016000 | Ryan Ouillette | Clinic/Center | 9500 Gilman Dr, La Jolla, CA 92093-5004 | 2020-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558882431 | Sunah Feng | Radiology | 302 Prospect St Unit 4, La Jolla, CA 92037-4694 | 2017-06-30 |
| 1578957429 | Nour Aly | Radiology | 9500 Gilman Dr # Mc0834, La Jolla, CA 92093-5004 | 2015-03-27 |
| 1740537232 | Donald Kevin Ryan | Radiology | 7131 Monte Vista Ave, La Jolla, CA 92037-5326 | 2012-08-14 |
| 1780903054 | Remote Diagnostic Interpreters PC | Radiology | 6219 Avenida Cresta, La Jolla, CA 92037-6511 | 2010-05-25 |
| 1194049965 | Maurice Henry Zissen | Radiology | 10666 N Torrey Pines Rd # 100c, La Jolla, CA 92037-1027 | 2010-03-22 |
| 1528210416 | Tomer Abraham Roth | Radiology | 10666 N Torey Pines Rd, 100c, La Jolla, CA 92037 | 2008-10-22 |
| 1164591616 | Avanee S Peel | Radiology | 8535 Via Mallorca, La Jolla, CA 92037-2502 | 2006-11-07 |
| 1922117894 | Keith C. Edwards | Radiology | 9300 Campus Point Dr., Ucsd Thornton Hospital Radiology, La Jolla, CA 92037-7756 | 2006-08-30 |
| 1255345401 | Amy C Wu | Radiology | 10666 N Torrey Pines Rd # Mc100c, Scripps Clinic Medical Group, Dept of Radiology, La Jolla, CA 92037-1027 | 2006-07-27 |
| 1700270097 | Ryan Harrison Penticuff | Radiology | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2015-03-24 |
| Find all providers in LA JOLLA | ||||
Please comment or provide details below to improve the information on DR. PAUL STARK.
| 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.