THOMAS E STARK DO
NPI 1912963513
Family Medicine in Chula Vista, CA
About Thomas E Stark Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS E STARK DO (NPI 1912963513) is an individual family medicine provider in Chula Vista, California, licensed in Wisconsin (44537-021) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas E Stark Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thomas Stark's NPI number?
The NPI number for Thomas Stark is 1912963513. It was assigned to this individual provider in the NPPES registry on April 22, 2006.
Where is Thomas Stark located?
Thomas Stark practices at 644 Naples St Chula Vista Naval Branch Clinic, Chula Vista, CA 91911. The listed phone number is (619) 744-5355.
What is Thomas Stark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Stark enrolled in Medicare?
Yes. Thomas Stark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Thomas Stark was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Thomas E Stark, DO · NPI 1912963513
Family Medicine physician in Chula Vista, California. Individual provider, active in the CMS NPPES registry since April 22, 2006.
## Identity
- **NPI:** 1912963513 (Entity type: Individual)
- **Enumerated:** April 22, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 44537-021 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 644 NAPLES ST, CHULA VISTA NAVAL BRANCH CLINIC, Chula Vista, CA 91911-1636
- **Phone:** (619) 744-5355
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 11, 2016
- **Other identifiers:** Medicare PIN 080186462 (WI); Medicaid 43500700 (WI); Medicare PIN 004713215 (WI); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1912963513) · Data from the CMS NPPES public registry.