DONNA M CLARK (NPI# 1104832617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104832617 |
| Entity Type | Individual |
| Full Name | DONNA M CLARK |
| Credential | GNP |
| Practice Address |
130 Cedar Rd Ste 200 Vista CA 92083-5102 |
| Mailing Address |
10170 Sorrento Valley Rd San Diego CA 92121-1604 |
| Practice Telephone | 7608065620 |
| Practice Fax Number | 7608065639 |
| Mailing Telephone | 8587845888 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN485608 | CA | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN485608 | CA | Nursing Service Providers |
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
RN485608 | CA | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6328 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RN485608 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467901314 | Donna Marie Clark | Counselor | 104 N Park Ave, Coatesville, PA 19320-2836 | 2016-10-03 |
| 1982059978 | Donna Rae Clark | Licensed Practical Nurse | 3097 Pondview Dr, Ravenna, OH 44266-9051 | 2016-04-27 |
| 1972920569 | Donna Alice Clark | Social Worker | 3007 N. Saginaw Rd., Midmichigan Home Care, Midland, MI 48640 | 2014-03-21 |
| 1215353743 | Donna Patricia Clark | Nurse Practitioner | 12388 Warwick Blvd Ste 302, Newport News, VA 23606-3858 | 2014-03-07 |
| 1730637109 | Donna Clark | Social Worker | 294 W State Route 89a, Cottonwood, AZ 86326-3754 | 2016-09-14 |
| 1659675866 | Donna Clark | Specialist | 718 S State St, Clarks Summit, PA 18411-1749 | 2011-01-03 |
| 1720318140 | Donna Marie Clark | Nurse Practitioner | 110 Francis St, Suite 6e, Boston, MA 02215-5501 | 2010-01-07 |
| 1588812598 | Donna C Clark | Audiologist | 2950 Cullen Blvd, Ste. 202, Pearland, TX 77584-3921 | 2008-09-03 |
| 1093849879 | Donna Lee Clark | Pharmacist | 124 Main St, Man Pharmacy, Man, WV 25635-1212 | 2007-03-15 |
| 1639211949 | Donna Clark | Marriage & Family Therapist | 12625 Hesperia Rd, Victorville, CA 92395-7720 | 2007-02-13 |
| Street Address |
130 CEDAR RD STE 200 |
| City | VISTA |
| State | CA |
| Zip Code | 92083-5102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
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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.