JAMILA PATRICE CLARK (NPI# 1174086888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174086888 |
| Entity Type | Individual |
| Full Name | JAMILA PATRICE CLARK |
| Practice Address |
715 W Milling St Unit 405 Lancaster CA 93534-3173 |
| Practice Telephone | 6618746573 |
| Mailing Telephone | 6618746573 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CSUB | D1846519 | 01 |
| Street Address |
715 W MILLING ST UNIT 405 |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534-3173 |
| 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 | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179244 | Richard Anthony Mendoza | Specialist/Technologist | 3123 Pearlwood Dr, Lancaster, CA 93536-4715 | 2019-11-25 |
| 1467731778 | Thomas Henry Johnson | Specialist/Technologist | 345 E Avenue J7, Lancaster, CA 93535-3644 | 2011-08-04 |
| 1720624091 | Morgan C Griffin | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-11-21 |
| 1598309056 | Maria Ines Juarez Ramirez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-28 |
| 1245873355 | Gabriel Lopez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1154964260 | Glorivell Zerpa | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1063055176 | Graciela Martinez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1043853153 | Estrella Sanchez | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1952944068 | Shirley Wilson Boon | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 1598308611 | Lakisha Rene Robertson | Specialist/Technologist | 43909 30th St W, Lancaster, CA 93536-5843 | 2019-10-21 |
| 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.