STARVISTA (NPI# 1861914756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861914756 |
| Entity Type | Organization |
| Organization Name | STARVISTA |
| Practice Address |
1720 S Amphlett Blvd Ste 123 San Mateo CA 94402-2710 |
| Mailing Address |
610 Elm St Ste 212 San Carlos CA 94070-3070 |
| Practice Telephone | 6505919623 |
| Practice Fax Number | 6505914163 |
| Mailing Telephone | 6505919623 |
| Mailing Fax Number | 6505914163 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | MRS. LILLIAN DOHERTY (HUMAN RESOURCES DIRECTOR) |
| Authorized Official Telephone | 6505919623 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013439264 | Starvista | Community/Behavioral Health | 1590 El Camino Real Ste J, San Bruno, CA 94066-5377 | 2017-07-10 |
| 1093095150 | Starvista | Community/Behavioral Health | 609 Price Ave Ste 201, Redwood City, CA 94063-1403 | 2011-08-22 |
| 1912285735 | Starvista | Community/Behavioral Health | 826 Mahler Rd, Burlingame, CA 94010-1604 | 2011-07-27 |
| 1194929638 | Starvista | Counselor | 700 S Claremont St Ste 110, San Mateo, CA 94402-1447 | 2007-06-11 |
| 1467507392 | Starvista | Community/Behavioral Health | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2007-01-23 |
| 1013439942 | Starvista | Community/Behavioral Health | 333 Gellert Blvd Ste 206, Daly City, CA 94015-2659 | 2017-07-12 |
| 1992227144 | Starvista | Community/Behavioral Health | 480 Manor Plz, Pacifica, CA 94044-1839 | 2017-07-10 |
| 1194194142 | Starvista | Community/Behavioral Health | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2015-09-21 |
| 1972970499 | Starvista | Community/Behavioral Health | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2015-09-01 |
| 1821376641 | Starvista | Community/Behavioral Health | 609 Price Ave, Redwood City, CA 94063-1463 | 2011-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | StarVista Management LLC | 8260 Willow Oaks Corporate Dr, Ste 500, Fairfax, Virginia 22031 |
| Colorado Business Entities | Starvista, Inc. | 1 Blue Sage, Littleton, CO 80127 |
| Street Address |
1720 S AMPHLETT BLVD STE 123 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94402-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821261785 | Jessica Escobedo | Counselor | 1720 S Amphlett Blvd Ste 123, San Mateo, CA 94402-2710 | 2008-04-10 |
| 1710264973 | Sandra Vasquez | Counselor | 1720 S Amphlett Blvd Ste 123, San Mateo, CA 94402-2710 | 2011-11-15 |
| 1386964336 | Joseph Kurian | Counselor | 1720 S Amphlett Blvd Ste 123, San Mateo, CA 94402-2710 | 2010-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1669032868 | County of San Mateo | Clinic/Center | 222 Paul Scannell Dr., San Mateo, CA 94402 | 2019-06-19 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1982122503 | Madeline Pielert | Social Worker | 1670 S. Amphlett Blvd. 115, San Mateo, CA 94402 | 2017-09-04 |
| 1629512348 | Travis Woodmansee | Marriage & Family Therapist | 419 S El Dorado St, San Mateo, CA 94402 | 2016-12-14 |
| 1669820858 | Mohan Sundareson | Pediatrics | 1638 South Grant St, San Mateo, CA 94402 | 2016-05-27 |
| 1457712572 | New Life Acupuncture Clinic | Acupuncturist | 1720 South Amphlett Blvd # 168, San Mateo, CA 94402 | 2016-03-17 |
| 1871951434 | Nanami Oba | Physical Therapy Assistant | 20 Bennigton Dr., San Mateo, CA 94402 | 2016-02-10 |
| 1780059733 | Adrianna Cimera | Behavioral Analyst | 1710 South Amphlett Blvd, Suite 314, San Mateo, CA 94402 | 2015-12-02 |
| Find all providers in zip 94402 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992252829 | Caminar Inc. | Community/Behavioral Health | 1660 S Amphlett Blvd Ste 11, San Mateo, CA 94402-2520 | 2016-09-08 |
| 1649403486 | Healthright 360 | Community/Behavioral Health | 2015 Pioneer Ct, San Mateo, CA 94403-1781 | 2009-08-27 |
| 1245428473 | Training and Health Education Center for Youth | Community/Behavioral Health | 900 Alameda De Las Pulgas, # 224, San Mateo, CA 94402-3357 | 2007-10-12 |
| 1427242163 | County of San Mateo | Community/Behavioral Health | 2000 Alameda De Las Pulgas Ste 280, San Mateo, CA 94403-1289 | 2007-09-05 |
| 1093920647 | Edgewood Center for Children and Families | Community/Behavioral Health | 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 | 2007-05-14 |
| 1225240211 | Dr. June Martin, Marriage and Family Therapist, Inc. | Community/Behavioral Health | 215 North San Mateo Drive, Suite #2, San Mateo, CA 94401 | 2007-05-04 |
| 1184768665 | Excell Readiness Center | Community/Behavioral Health | 22 Tower Rd, San Mateo, CA 94402-4035 | 2007-02-16 |
| 1316084072 | Ymca of San Francisco | Community/Behavioral Health | 1650 S. Amphlett Blvd., Suite 113, San Mateo, CA 94402 | 2007-01-31 |
| 1306983887 | Starvista Girls Program | Community/Behavioral Health | 400 Paul Scannell Drive, San Mateo, CA 94402 | 2007-01-31 |
| 1346395738 | Caminar | Community/Behavioral Health | 2600 S. El Camino Real, 1st Floor, San Mateo, CA 94403 | 2007-01-24 |
| Find all providers in SAN MATEO | ||||
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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.