ROBERT EDWARD CLARK M.D. NPI 1265480602

NPI Information

  • NPI: 1265480602
  • Provider Name: ROBERT EDWARD CLARK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1141 ROSE AVE
    SELMA, CA
    ZIP 93662
  • Phone: (559) 891-6337

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NPI Details

Robert Edward Clark, M.D. is a diagnostic radiology radiology in Selma, CA with 60 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert Edward Clark, M.D. NPI is 1265480602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:1966

The provider's business location address is:

1141 ROSE AVE
SELMA, CA
ZIP 93662-241
Phone: (559) 891-6337

The NPI 1265480602 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 5/5/2006 and was last updated on 6/10/2011.

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
1174400000XSpecialistC29418CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyC29418CALIFORNIAYes

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
100C294180MEDICARE PINCALIFORNIA
2300062393OTHERRAILROAD MEDICARE PIN
3A33918MEDICARE UPINCALIFORNIA
4BC479QMEDICARE PINCALIFORNIA
500C294180MEDICAIDCALIFORNIA
6BC4790MEDICARE PINCALIFORNIA
7BC479PMEDICARE PINCALIFORNIA

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: 11/21/2025

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