LINDA STARK (NPI# 1790102440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790102440 |
| Entity Type | Individual |
| Full Name | LINDA STARK |
| Practice Address |
27701 Murrieta Rd Space 186 Menifee CA 92586-6301 |
| Practice Telephone | 9513091485 |
| Mailing Telephone | 9513091485 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | MTRN32610 | MT | Nursing Service Providers |
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
2006029133 | MO | Nursing Service Providers |
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
572824 | CA | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
231366 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901367 | Linda Stark | Licensed Practical Nurse | 2501 Louis Henna Blvd Apt 1012, Round Rock, TX 78664-5755 | 2019-06-20 |
| 1366723157 | Linda Stark | Social Worker | 207 Townepark Cir Ste 201, Louisville, KY 40243-2322 | 2011-09-07 |
| 1366573578 | Linda Diane Stark | Physician Assistant | 9105 Franklin Square Dr, Suite 100, Rosedale, MD 21237-3930 | 2007-03-08 |
| 1689789604 | Linda J Stark | Internal Medicine | 1 Stadium Drive, Morgantown, WV 26506 | 2006-08-20 |
| Street Address |
27701 MURRIETA RD SPACE 186 |
| City | MENIFEE |
| State | CA |
| Zip Code | 92586-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053586800 | Binoy Govindbhai Patel | Physical Therapist | 29798 Haun Rd Ste 201, Menifee, CA 92586 | 2008-04-23 |
| 1164552667 | Diana Suzanne Koenen | Marriage & Family Therapist | Sun Plaza Business Center, 27851 Bradley Rd, Suite 103, Menifee, CA 92586 | 2007-03-06 |
| 1972654804 | Mike Johnson | Specialist | 26916 Cherry Hills Boulevard, Sun City, CA 92586 | 2007-01-16 |
| 1932256849 | Mandana Mirshahzadeh | Nurse Practitioner | 26926 Cherry Hills Blvd Ste B, Menifee, CA 92586 | 2007-01-04 |
| 1184709248 | Technomed Homecare Inc | Durable Medical Equipment & Medical Supplies | 27188 Sun City Blvd, Sun City, CA 92586 | 2006-10-26 |
| 1922193754 | Minh Pham | Dentist | 29950 Haun Rd, Ste 302, Sun City, CA 92586 | 2006-10-04 |
| 1598739203 | Kevin Khuong Nguyen | Family Medicine | 29798 Haun Road, Suite 203, Menifee, CA 92586 | 2006-02-17 |
| 1831199728 | Duane Ray Darnell | Internal Medicine | 27994 Bradley Rd, Ste F, Sun City, CA 92586 | 2005-07-21 |
| 1417445040 | Blair N Kluth | Behavioral Analyst | 27070 Sun City Blvd, Menifee, CA 92586 | 2018-04-30 |
| 1043723869 | New Hope Rx Pharmacy, Inc | Pharmacy | 29798 Haun Rd Ste 100, Menifee, CA 92586 | 2017-11-15 |
| Find all providers in zip 92586 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285031 | Yanhong Yuan | Registered Nurse | 2171 Junipero Serra Blvd Ste 600, Daly City, CA 94014-1990 | 2020-11-03 |
| 1760081988 | Christine J. Wilson | Registered Nurse | 15007 Hartland St, Van Nuys, CA 91405-3714 | 2020-10-19 |
| 1407466899 | Pamela Ann Engelke | Registered Nurse | 240 Nice Ln Apt 117, Newport Beach, CA 92663-2652 | 2020-07-31 |
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1932724689 | Deborah Ruth Toga | Registered Nurse | 587 Prospect Blvd, Pasadena, CA 91103-3235 | 2020-06-09 |
| 1750904066 | Emer Gaite | Registered Nurse | 1697 Greenyard Ct, Brentwood, CA 94513-5844 | 2020-05-20 |
| 1396367140 | Janice Ann Oliver | Registered Nurse | 4393 Date Ave, La Mesa, CA 91941-6412 | 2020-05-15 |
| 1083236863 | Rachel Materum | Registered Nurse | 2190 Holder Ln, Tracy, CA 95377-9575 | 2020-05-14 |
| 1154943926 | Susan Guajardo | Registered Nurse | 2695 Country Ln, Westlake Village, CA 91361-5534 | 2020-05-14 |
| 1336761329 | Nancy Davis | Registered Nurse | 307 Greenview Rd, Escondido, CA 92026-3932 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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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.