AIDAN M CLARKE MD NPI 1215941158

NPI Information

  • NPI: 1215941158
  • Provider Name: AIDAN M CLARKE, MD
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1725 W MONTECITO WAY
    SAN DIEGO, CA
    ZIP 92103
  • Phone: (619) 210-9291

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NPI Details

Aidan M Clarke, MD is a pain medicine anesthesiology in San Diego, CA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Aidan M Clarke, MD NPI is 1215941158. 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:

1725 W MONTECITO WAY
SAN DIEGO, CA
ZIP 92103-227
Phone: (619) 210-9291

The NPI 1215941158 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 7/28/2006 and was last updated on 7/28/2022.

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
12083A0300XPreventive MedicineAddiction MedicineG64292CALIFORNIANo
2207LP2900XAnesthesiologyPain MedicineG64292CALIFORNIAYes
32081P2900XPhysical Medicine & RehabilitationPain MedicineG64292CALIFORNIANo

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
100G642920OTHERBLUE SHIELD

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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