STARSHIP MEDICAL CORPORATION
NPI 1902490600
Preventive Medicine - Sports Medicine in Wilmington, CA

Q: What is Starship Medical Corporation's NPI number?

The NPI number for Starship Medical Corporation is 1902490600. It was assigned to this organization in the NPPES registry on February 23, 2021.

Q: What is Starship Medical Corporation's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

Active since February 23, 2021

1703 N AVALON BLVD, WILMINGTON, CA 90744(310) 233-9355(310) 233-2545 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2021, Feb 23, 2021 (2 updates tracked since 2021).

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About Starship Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STARSHIP MEDICAL CORPORATION (NPI 1902490600) is a healthcare organization registered as a sports medicine in Wilmington, California and active in the NPI registry since February 2021. The organization lists Eddie Santiago, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902490600

Entity TypeOrganization

Primary Taxonomy2083S0010X

Legal Business NameSTARSHIP MEDICAL CORPORATION

Location Address1703 N AVALON BLVDWilmington, CA 90744-1432

Mailing Address1703 N Avalon BlvdWilmington, CA 90744-1432 · (818) 518-5980

Phone(310) 233-9355

Fax(310) 233-2545

Organization SubpartNo

Authorized OfficialEddie SantiagoAdministrator · (818) 610-9360

Enumeration DateFebruary 23, 2021

Last NPPES UpdateMay 19, 20212 updates tracked since enumeration

NPPES CertifiedMay 19, 2021

✔ NPI 1902490600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083S0010X

Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedChiropractor · NutritionTaxonomy 111NN1001X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

1703 N AVALON BLVD, Wilmington, CA 90744

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALING TO YOU

Clinic/Center (Multi-Specialty)