THOMAS E STARK DO NPI 1912963513

NPI Information

  • NPI: 1912963513
  • Provider Name: THOMAS E STARK, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 644 NAPLES ST
    CHULA VISTA NAVAL BRANCH CLINIC
    CHULA VISTA, CA
    ZIP 91911
  • Phone: (619) 744-5355

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NPI Details

Thomas E Stark, DO is a family medicine in Chula Vista, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Thomas E Stark, DO NPI is 1912963513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

644 NAPLES ST
CHULA VISTA NAVAL BRANCH CLINIC
CHULA VISTA, CA
ZIP 91911-636
Phone: (619) 744-5355

The NPI 1912963513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/22/2006 and was last updated on 3/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine44537-021WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080186462MEDICARE PINWISCONSIN
243500700MEDICAIDWISCONSIN
3004713215MEDICARE PINWISCONSIN
41040755OTHERWISCONSINPHYSICIANS PLUS
560052OTHERWISCONSINDEAN HEALTH INSURANCE
6H37812MEDICARE UPIN
7003857155MEDICARE PINWISCONSIN
831-1575142OTHERCALIFORNIAEIN NAVAL BRANCH CLINIC CHULA VISTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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