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DAVID A. CLARK M.D. MEDICAL CORPORATION NPI 1821109349


NPI Information

NPI: 1821109349
Provider Name: DAVID A. CLARK, M.D., MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
880 CASS ST
SUITE 108
MONTEREY, CA
ZIP 93940
Phone: (831) 649-9330
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DAVID A. CLARK, M.D., MEDICAL CORPORATION is a specialist in Monterey, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAVID A. CLARK, M.D., MEDICAL CORPORATION NPI is 1821109349. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

880 CASS ST
SUITE 108
MONTEREY, CA
ZIP 93940-947
Phone: (831) 649-9330
Fax: (831) 649-9335

The provider's authorized official is Linda Feher .
The authorized official title is Manager and has the following contact phone number (831) 649-9330.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist00G123030CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G123034OTHERCALIFORNIAMEDICARE INDIV PTAN
2ZZZ04915ZOTHERCALIFORNIAMEDICARE GRP-STAN PTAN
3GR0057973MEDICAIDCALIFORNIA
406E9948OTHERCALIFORNIATRICARE
5ZZZ39341ZOTHERCALIFORNIAMEDICARE GRP PTAN
600G123035OTHERCALIFORNIAMEDICARE INDIV-STAN PTAN
7A38611MEDICARE UPINCALIFORNIA

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

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