RANDY GENE CLARK SR. (NPI# 1063939817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063939817 |
| Entity Type | Individual |
| Full Name | RANDY GENE CLARK SR. |
| Practice Address |
45335 Sierra Hwy Lancaster CA 93534 |
| Mailing Address |
45335 Sierra Hwy Lancaster CA 93534-1611 |
| Practice Telephone | (661) 949-8599 |
| Mailing Telephone | 6619498599 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932494291 | Randy Clark | Physical Therapist | 1952 E 7000 S, Salt Lake City, UT 84121-6877 | 2011-06-15 |
| 1679781140 | Randy R Clark | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 | 2007-05-18 |
| Street Address |
45335 SIERRA HWY |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790827657 | Western Pacific Med-corp | Clinic/Center | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2007-02-13 |
| 1831704626 | Delilah Johnson | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2020-09-09 |
| 1437788767 | Raymond Lathan Mcdonald Sr. | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2020-04-07 |
| 1033760509 | Kristi Lynne Vivian-sherman | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2019-09-25 |
| 1548811383 | Virginia Lenee Richardson | Licensed Vocational Nurse | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2019-09-23 |
| 1730668955 | Peter Frias | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2018-08-08 |
| 1023515285 | Lorena Garcia | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2018-04-12 |
| 1821597295 | Alma Rosa Borjon | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-9353 | 2018-02-12 |
| 1396267209 | Stephanie Kimiko Okada | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2017-07-12 |
| 1255864765 | Vivian Castillo | Counselor | 45335 Sierra Hwy, Lancaster, CA 93534-1611 | 2017-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1255939732 | Diana Palencia | Counselor | 44459 10th St W, Lancaster, CA 93534-3324 | 2020-10-15 |
| 1316550213 | Jennifer Hoffmann | Counselor | 44447 10th St W # C, Lancaster, CA 93534-3324 | 2020-08-28 |
| 1124631130 | Ruben Daniel Ruiz Sr. | Counselor | 1053 E Avenue K # 40, Lancaster, CA 93535-4810 | 2020-08-28 |
| 1306454970 | Kirk Evans | Counselor | 3670 Shiloh Unity Rd, Lancaster, SC 29720-7323 | 2020-07-20 |
| 1164053864 | John Mcglothin | Counselor | 220 Pioneer Ct, Lancaster, TX 75146-3035 | 2020-01-31 |
| 1306476528 | Kelly Mason | Counselor | 313 W Liberty St Ste 124, Lancaster, PA 17603-2766 | 2020-01-16 |
| 1306483607 | Alexis Milner | Counselor | 1470 New Danville Pike Apt D, Lancaster, PA 17603-9214 | 2019-12-05 |
| 1508418336 | Marilyn Kay Thomas | Counselor | 1812 Pioneer Way, Lancaster, TX 75146-1902 | 2019-07-11 |
| 1669948832 | Cynthia Diane Hunter-spears | Counselor | 43845 10th St W Ste 1d, Lancaster, CA 93534-4800 | 2018-10-15 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.