AIDAN M CLARKE (NPI# 1215941158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215941158 |
| Entity Type | Individual |
| Full Name | AIDAN M CLARKE |
| Credential | MD |
| Practice Address |
1180 N Indian Canyon Dr Suite W200 Palm Springs CA 92262-4800 |
| Mailing Address |
1725 W Montecito Way San Diego CA 92103-1227 |
| Practice Telephone | 7604164511 |
| Practice Fax Number | 7604164512 |
| Mailing Telephone | 6195647463 |
| Mailing Fax Number | 6195647463 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G64292 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 036-114565 | IL | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
2004032524 | MO | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
036-114565 | IL | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
2004032524 | MO | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
036-114565 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036114565 | 05 | |
| BLUE SHIELD | 00G642920 | 01 |
| Street Address |
1180 N INDIAN CANYON DR SUITE W200 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647394 | Reynaldo Ocampo Gomez | Specialist | 1180 N Indian Canyon Dr, Ste W300, Palm Springs, CA 92262-4809 | 2005-05-23 |
| 1184287427 | Parham Zamani | Student in an Organized Health Care Education/Training Program | 1180 N Indian Canyon Dr, Palm Springs, CA 92262-4800 | 2019-04-22 |
| 1558823005 | Karim Al-turk | Psychiatry & Neurology | 1180 N Indian Canyon Dr, Palm Springs, CA 92262-4800 | 2019-04-03 |
| 1174010771 | Amritha Parthasarathy | Student in an Organized Health Care Education/Training Program | 1180 N Indian Canyon Dr, Palm Springs, CA 92262-4800 | 2018-04-18 |
| 1023514122 | Thai Son Dang | Student in an Organized Health Care Education/Training Program | 1180 N Indian Canyon Dr, Palm Springs, CA 92262-4800 | 2018-04-05 |
| 1194250142 | Alessandra Cathel | Student in an Organized Health Care Education/Training Program | 1180 N Indian Canyon Dr, Suite W214, Palm Springs, CA 92262-4800 | 2017-04-27 |
| 1578004339 | Coty Ho Md Inc | Internal Medicine | 1180 N Indian Canyon Dr, Ste E 218, Palm Springs, CA 92262-4800 | 2017-03-13 |
| 1184168916 | Crough Podiatry | Podiatrist | 1180 N Indian Canyon Dr, Suite 201, Palm Springs, CA 92262-4800 | 2016-12-13 |
| 1225481849 | Ghassan Kazmouz Group | Internal Medicine | 1180 N Indian Canyon Dr, Ste W304, Palm Springs, CA 92262-4800 | 2016-07-19 |
| 1457718520 | Prerna Mona Khanna Md PC | Internal Medicine | 1180 N Indian Canyon Dr, Ste W200, Palm Springs, CA 92262-4800 | 2016-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498298 | Anupam Sharma | Anesthesiology | 1100 N Palm Canyon Driver, Suite 203, Palm Springs, CA 92262 | 2014-05-05 |
| 1386646347 | Charles Edward Anderson Jr. | Anesthesiology | 1180 N Indian Canyon Dr, Ste E408, Palm Springs, CA 92262-4800 | 2005-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
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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.