STARKS MEDICAL GROUP A PROFESSIONAL CORPORATION
NPI 1649714734
Radiology - Diagnostic Radiology in Montclair, CA
- Organization
- Radiology
- Diagnostic Radiology
About STARKS MEDICAL GROUP A PROFESSIONAL CORPORATION
This page provides the complete NPI Profile along with additional information for Starks Medical Group A Professional Corporation, a provider established in Montclair, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1649714734 assigned on December 2016. The practitioner's primary taxonomy code is 2085R0202X with license number A76121 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Starks Medical Group A Professional Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Brian K Gamble M.d. (President)
- NPI
- 1649714734 Verify this NPI
- Provider Name
- STARKS MEDICAL GROUP A PROFESSIONAL CORPORATION
- Entity Type
- Organization
- Location Address
- 5153 HOLT BLVD SUITE B2 MONTCLAIR, CA 91763
- Location Phone
- (909) 625-0661
- Location Fax
- (909) 625-7761
- Mailing Address
- 5153 HOLT BLVD SUITE B2 MONTCLAIR, CA 91763
- Mailing Phone
- (909) 625-0661
- Mailing Fax
- (909) 625-7761
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-08-2016
- Last Update Date
- 12-08-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A76121
- License State
- CA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 2 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
MONTCLAIR, CA 91763
MONTCLAIR, CA 91763
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649714734, enumerated as an "organization" on December 08, 2016.
The provider is located at 5153 HOLT BLVD SUITE B2 MONTCLAIR, CA 91763 and the phone number is (909) 625-0661.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
