JOANNA D. STARK (NPI# 1760569602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760569602 |
| Entity Type | Individual |
| Full Name | JOANNA D. STARK |
| Credential | MD |
| Practice Address |
220 E Hacienda Ave Campbell CA 95008-6617 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 4082366400 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A71561 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A715610 | 05 |
| Street Address |
220 E HACIENDA AVE |
| City | CAMPBELL |
| State | CA |
| Zip Code | 95008-6617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157274 | Michael David Stein | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-01-04 |
| 1124550827 | Shadia Ghali | Pharmacist | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2017-03-31 |
| 1639600315 | Stephanie Lam | Pharmacist | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2017-03-23 |
| 1104357045 | Bo Kim | Pharmacist | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2017-03-22 |
| 1912268616 | Manasi Malvankar Nabar | Internal Medicine | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2012-05-30 |
| 1265636245 | Ligaya Ayn Yrastorza | Physical Therapist | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2007-06-13 |
| 1245434042 | Allison Stilphen Webb-perez | Student in an Organized Health Care Education/Training Program | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2007-06-13 |
| 1124178736 | Jennifer L Ragazzo | Obstetrics & Gynecology | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2007-01-12 |
| 1922155670 | Lauren Marie Holland | Obstetrics & Gynecology | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2007-01-04 |
| 1902961188 | Lynna Hwang Wang | Pediatrics | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298380 | Kerry Lynn Osteen | Massage Therapist | 3579 S Bascom Ave, Apt 5, Campbell, CA 95008 | 2020-09-02 |
| 1164057550 | Francesca Dalangin | Physical Therapist | 163 E. Hamilton Avenue, Campbell, CA 95008 | 2020-03-06 |
| 1144790767 | Haley Brucato | Behavior Technician | 131 Rose Court Apt. 21, Campbell, CA 95008 | 2018-11-27 |
| 1740765809 | Crystal-xuanthao Nguyen Curammeng | Licensed Vocational Nurse | 251 Llwelyn Ave, Campbell, CA 95008 | 2018-09-25 |
| 1841799236 | Gabrielle Suzanne Buma | Physician Assistant | Uplift Family Services 251 Llewellyn Ave, Campbell, CA 95008 | 2018-02-12 |
| 1093214660 | Toni Lynn Clementi | Marriage & Family Therapist | 116 E. Campbell Ave, Campbell, CA 95008 | 2018-02-08 |
| 1184132573 | My Hanh Thi Nguyen | Behavioral Analyst | 1440 Theresa Avenue, Campbell, CA 95008 | 2018-01-19 |
| 1346770948 | Stephanie Michele Klahold | Pharmacist | 100 North San Tomas Aquino Road, Campbell, CA 95008 | 2017-06-15 |
| 1578095378 | Elina Josephson | Marriage & Family Therapist | 155 E Campbell Ave Ste 117, Campbell, CA 95008 | 2017-03-30 |
| 1912448408 | Suzane Mitchualmacauley | Licensed Vocational Nurse | 251 Llewelyn Ave, Uplift Family Services, Campbell, CA 95008 | 2017-03-16 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720134232 | Mary E Kilkenny | Obstetrics & Gynecology | 476 E Campbell Ave, Campbell, CA 95008-2142 | 2007-01-26 |
| 1295899847 | Nadine E Graven | Obstetrics & Gynecology | 476 E Campbell Avenue, Campbell, CA 95008 | 2006-12-20 |
| 1629175336 | Obstetrix Medical Group of California, A Professional Corporation | Obstetrics & Gynecology | 900 E. Hamilton Ave, Suite 200, Campbell, CA 95008-0665 | 2006-09-17 |
| 1669432092 | Mary Margaret O'neill Md Inc | Obstetrics & Gynecology | 200 W Campbell Ave, Campbell, CA 95008-1030 | 2006-03-28 |
| 1215142419 | Mary Margaret Oneill | Obstetrics & Gynecology | 200 W Campbell Ave, Campbell, CA 95008-1030 | 2007-05-11 |
| 1871630541 | Ventana Medical Group, Apc | Obstetrics & Gynecology | 476 E Campbell Ave, Campbell, CA 95008-2142 | 2007-01-31 |
| 1124178736 | Jennifer L Ragazzo | Obstetrics & Gynecology | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2007-01-12 |
| 1922155670 | Lauren Marie Holland | Obstetrics & Gynecology | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2007-01-04 |
| 1669546263 | Judy Tai | Obstetrics & Gynecology | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-11-17 |
| 1316024268 | Cheryl L. Bader | Obstetrics & Gynecology | 220 E Hacienda Ave, Campbell, CA 95008-6617 | 2006-10-31 |
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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.