DR. KENNETH STARR (NPI# 1861431595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861431595 |
Entity Type | Individual |
Full Name | DR. KENNETH STARR |
Credential | M.D. |
Practice Address |
107 Nelson St Arroyo Grande CA 93420-3318 |
Mailing Address |
105 S Main St Templeton CA 93465-9601 |
Practice Telephone | 8052421360 |
Mailing Telephone | (805) 434-1869 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | MD22323O | OR | Allopathic & Osteopathic Physicians |
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A105044 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CHAMPUS | A032 | 01 | |
CHAMPUS | H00866 | 01 | |
GROUP HEALTH | H00866 | 01 | |
LIPA | H00866 | 01 | |
BCBS | 057221014 | 01 | |
OR | 288397 | 05 | |
WA | 8283574 | 05 | |
CA | XPY196669 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1100 Las Tablas Rd, Templeton, CA 934659704 | 8054344700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437274511 | Kenneth James Starr | Physician Assistant | 7324 Southwest Fwy Ste 1550, Houston, TX 77074-2053 | 2007-03-20 |
Street Address |
107 NELSON ST |
City | ARROYO GRANDE |
State | CA |
Zip Code | 93420-3318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083153829 | Kristen Robin Anderson | Counselor | 107 Nelson St, Arroyo Grande, CA 93420-3318 | 2017-02-13 |
1871048769 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 107 Nelson St, Arroyo Grande, CA 93420-3318 | 2016-08-20 |
1598195810 | Ken Starr Md Wellness Group | Counselor | 107 Nelson St, Arroyo Grande, CA 93420-3318 | 2013-11-22 |
1659715100 | Elaine Shaver Power | Marriage & Family Therapist | 107 Nelson St, Arroyo Grande, CA 93420 | 2013-04-25 |
1629117981 | Emily Jean Maddox | Counselor | 107 Nelson St, Arroyo Grande, CA 93420-3318 | 2007-02-05 |
1982789186 | Kenneth Scott Guess | Pharmacist | 107 Nelson St, Arroyo Grande, CA 93420-3318 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
Find all providers in zip 93420 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
Find all providers with the same taxonomy |
City | ARROYO GRANDE |
Zip Code | 93420 |
Please comment or provide details below to improve the information on DR. KENNETH STARR.
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.