CLARKE R. LEW (NPI# 1194768077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194768077 |
| Entity Type | Individual |
| Full Name | CLARKE R. LEW |
| Credential | MD |
| Practice Address |
751 S Weir Canyon Rd Anaheim CA 92808-1962 |
| Practice Telephone | 7144530120 |
| Practice Fax Number | 7144530138 |
| Mailing Telephone | 7144530120 |
| Mailing Fax Number | 7144530138 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A54668 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | A54668 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | WA54668E | 01 |
| Street Address |
751 S WEIR CANYON RD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92808-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598742710 | Jason Christopher Berry | Family Medicine | 751 S Weir Canyon Rd, Suite 167, Anaheim, CA 92808-1962 | 2005-12-29 |
| 1962848499 | Orange County Urgent Care #3, Inc. | Clinic/Center | 751 S Weir Canyon Rd, Suite 171-167b, Anaheim, CA 92808-1962 | 2013-05-10 |
| 1811276181 | Henry Cheng | Family Medicine | 751 S Weir Canyon Rd, Suite 167, Anaheim, CA 92808-1962 | 2011-08-04 |
| 1417108861 | Laila Ayaz | Physician Assistant | 751 S Weir Canyon Rd, Suite 167, Anaheim, CA 92808-1962 | 2008-10-03 |
| 1467663922 | Christine Leigh Veltri | Chiropractor | 751 S Weir Canyon Rd, Ste. 181, Anaheim, CA 92808-1962 | 2007-05-25 |
| 1730202409 | Mimi B Mathews | Physician Assistant | 751 S Weir Canyon Rd, Suite 167, Anaheim, CA 92808-1962 | 2007-04-09 |
| 1588788517 | Douglas A. Hankins | Chiropractor | 751 S Weir Canyon Rd, Anaheim, CA 92808-1962 | 2007-03-16 |
| 1184748113 | Scott M. Torres | Chiropractor | 751 S Weir Canyon Rd, Anaheim, CA 92808-1962 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861970378 | Rebeca Martinez-higareda | Specialist/Technologist | 140 S. Chaparral Ct., Suite 110, Anaheim Hills, CA 92808 | 2018-08-06 |
| 1558875450 | Latshikyan Dental Corporation | Dentist | 8162 E Santa Ana Canyon Rd Suite 104, Anahein, CA 92808 | 2017-11-30 |
| 1083153266 | Jennifer Becker | Social Worker | 1368 S Country Glen Way, Anaheim, CA 92808 | 2017-02-21 |
| 1235573304 | Suzanne Renee Molera | Specialist/Technologist | 160 Old Springs Rd., Ste. 100, Anaheim Hills Speech and Language Center, Anaheim Hills, CA 92808 | 2013-04-19 |
| 1346559317 | Bernadette Pamulo Gonzales | Nurse Practitioner | 197 N. Mohler Drive, Anaheim Hills, CA 92808 | 2010-09-24 |
| 1437485653 | Rebecca M. Maravilla, Od, Inc. | Optometrist | 781 S. Weir Canyon Road, Suite 195, Anaheim, CA 92808 | 2009-10-22 |
| 1710142153 | Chris T Nguyen | Dentist | 911 South Brianna Way, Anaheim, CA 92808 | 2008-07-24 |
| 1619174331 | Raymond Warner | Social Worker | 1900 E. 4th Street, 2nd Floor, Anaheim, CA 92808 | 2007-06-27 |
| 1437271582 | Rebecca Marcia Maravilla | Optometrist | 781 S Weir Canyon Road, Suite 195, Anaheim Hills, CA 92808 | 2007-04-06 |
| 1649327412 | Kimberlee Anne Anne Green | Counselor | 120 S. Fairmont Blvd., Anaheim, CA 92808 | 2007-01-04 |
| Find all providers in zip 92808 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1861435380 | Michael D Phillips | Emergency Medicine | 1174 N Euclid St, Anaheim, CA 92801-1900 | 2006-06-13 |
| 1215993399 | George Baskevitch | Emergency Medicine | 3033 West Orange Avenue, Anaheim, CA 92804 | 2006-04-26 |
| 1497288823 | Kevin Chen | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2017-04-04 |
| 1932640935 | Southland Emergency Medical Associates Inc | Emergency Medicine | 1111 W La Palma Ave, Emergency Dept, Anaheim, CA 92801-2804 | 2017-03-10 |
| 1982078150 | Cep America - California | Emergency Medicine | 1025 S Anaheim Blvd, Anaheim, CA 92805-5806 | 2015-11-25 |
| 1508202144 | Tasha Judith Fernando | Emergency Medicine | 3033 W Orange Ave, Anaheim, CA 92804-3156 | 2013-05-21 |
| 1407291354 | Allen Chiou | Emergency Medicine | 1736 W Medical Center Dr, Suite B, Anaheim, CA 92801-1854 | 2013-05-06 |
| 1104189414 | Charles Lu | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-21 |
| 1528320231 | Sean P Wilson | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-10 |
| Find all providers in ANAHEIM | ||||
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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.