| Dr Kenneth Starr, MD | |
|
107 Nelson St, Arroyo Grande, CA 93420-3318 | |
| (805) 242-1360 | |
| Not Available |
| Full Name | Dr Kenneth Starr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 107 Nelson St, Arroyo Grande, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861431595 | NPI | - | NPPES |
| H00866 | Other | CHAMPUS | |
| H00866 | Other | LIPA | |
| 8283574 | Medicaid | WA | |
| XPY196669 | Medicaid | CA | |
| H00866 | Other | GROUP HEALTH | |
| 057221014 | Other | BCBS | |
| 288397 | Medicaid | OR | |
| A032 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD22323O (Oregon) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | A105044 (California) | Primary |
| Entity Name | California Em-i Medical Services A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699724674 PECOS PAC ID: 3678487774 Enrollment ID: O20031113000451 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Central Coast Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972535557 PECOS PAC ID: 9234114067 Enrollment ID: O20040623001681 |
| Entity Name | Monterey Bay Observation Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205225505 PECOS PAC ID: 1052630514 Enrollment ID: O20150505002649 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Starr, MD 105 S Main St, Templeton, CA 93465-9601 Ph: (805) 434-1869 | Dr Kenneth Starr, MD 107 Nelson St, Arroyo Grande, CA 93420-3318 Ph: (805) 242-1360 |
Dr. Michael Zigelman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 189 Vista Dr, Arroyo Grande, CA 93420 Phone: 805-489-9040 | |
Sharon Frances Billon, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 880 North Oak Park Blvd, Unit 103, Arroyo Grande, CA 93420 Phone: 805-474-9550 | |
Ena Sharma, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Fair Oaks Ave Ste 220, Arroyo Grande, CA 93420 Phone: 805-547-2224 Fax: 805-474-5276 | |
Erick W. Hjortsvang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 584 Camino Mercado, Arroyo Grande, CA 93420 Phone: 805-474-9143 Fax: 805-474-9569 | |
Nancy O'malley, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 260 Station Way, Arroyo Grande, CA 93420 Phone: 805-473-6201 | |
Attiya Harit Randolph, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Fair Oaks Ave Ste 220, Arroyo Grande, CA 93420 Phone: 805-547-2224 Fax: 805-474-5248 | |
Michael Quezada, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 850 Fair Oaks Ave Ste 220, Arroyo Grande, CA 93420 Phone: 805-434-5530 Fax: 805-786-4220 |