DR. CHESTER DEAN CLARK D.P.M. NPI 1629089404

NPI Information

NPI: 1629089404
Provider Name: DR. CHESTER DEAN CLARK, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Address:
1611 S EUCLID ST
ANAHEIM, CA
ZIP 92802
Phone: (714) 535-2806
Get Directions

DR. Chester Dean Clark, D.P.M. is a foot surgery podiatrist in Anaheim, CA. DR. Chester Dean Clark, D.P.M. NPI is 1629089404. 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:

1611 S EUCLID ST
ANAHEIM, CA
ZIP 92802-406
Phone: (714) 535-2806
Fax: (714) 999-1167

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/24/2010.

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
1	213ES0131X	Podiatrist	Foot Surgery	E2464	CALIFORNIA	Yes

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
1	T11342	MEDICARE UPIN	CALIFORNIA
2	E2464	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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