ROBERT CLARK (NPI# 1235573460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235573460 |
| Entity Type | Individual |
| Full Name | ROBERT CLARK |
| Credential | MD |
| Practice Address |
7600 Old Dominion Ct Aptos CA 95003-3821 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 8314586200 |
| Practice Fax Number | 8314796659 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2018-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A132185 | CA | Allopathic & Osteopathic Physicians |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
A132185 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457989048 | Robert William Clark | Registered Nurse | 1511 Se 16th Ave, Ocala, FL 34471-4627 | 2020-03-30 |
| 1578012225 | Robert Clark | Technician, Other | 5075 Belmere Dr, Manitou Beach, MI 49253-9626 | 2016-09-22 |
| 1447535620 | Robert Leal Clark | Ophthalmology | 901 Forest Ave., Johnson City, TN 37601 | 2011-10-19 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1376778746 | Robert T Clark Sr. | Chiropractor | 2411 Us Highway 27 S, Sebring, FL 33870-4943 | 2009-05-28 |
| 1538358924 | Robert Coleman Clark | Massage Therapist | 1501b Grape St, Tallahassee, FL 32303-5637 | 2007-10-22 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1396963666 | Robert Clark | Licensed Practical Nurse | 26347 Lake Lindsey Rd, Brooksville, FL 34601-4304 | 2007-04-23 |
| 1770708349 | Robert Douglas Clark | Physical Therapist | 3580 Discovery Dr, Grove City, OH 43123-9329 | 2007-04-17 |
| 1053432633 | Robert Joseph Clark | Dentist | 5323 Brainerd Rd Ste 105, Chattanooga, TN 37411-5305 | 2007-04-02 |
| Street Address |
7600 OLD DOMINION CT |
| City | APTOS |
| State | CA |
| Zip Code | 95003-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780664565 | Victoria Kaufmann | Internal Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2006-01-18 |
| 1205498474 | Tara Manjunath Rous | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2019-07-08 |
| 1437691946 | Kayla Monique Hernandez | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2016-11-15 |
| 1770951113 | Marisela Marinez Lima | Physician Assistant | 7600 Old Dominion Ct, Aptos, CA 95003 | 2015-09-02 |
| 1275957078 | Melinda Orbach | Nurse Practitioner | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2014-02-13 |
| 1669790317 | Kenneth Andrews | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2010-05-05 |
| 1053574806 | Santa Cruz Medical Foundation Palo Alto Medical Foundation | Non-Pharmacy Dispensing Site | 7600 Old Dominion Ct, 1st, Aptos, CA 95003-3821 | 2008-07-02 |
| 1881892685 | Allison Marie Helms | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2007-07-03 |
| 1043309354 | Suzy Nassralla | Internal Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2006-10-12 |
| 1114038064 | Nathan Atkinson | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730664962 | Karinn Lane Pearson | Occupational Therapist | 240 Ranchitos Del Sol, Aptos, CA 95003 | 2018-10-03 |
| 1104280494 | Mary Alice Charboneau | Pharmacist | 80 Ranch Del Mar, Aptos, CA 95003 | 2016-04-12 |
| 1447643507 | Lorrine Carrara | Marriage & Family Therapist | 3060 Valencia Ave Ste 7, Aptos, CA 95003 | 2015-03-13 |
| 1417372277 | Maribel Madrigal | Counselor | 9057 Soquel Dr. C, Suite A, Aptos, CA 95003 | 2014-03-03 |
| 1740556604 | Teela Williams | Counselor | 105 Post Ofiice Dr, Suite F, Aptos, CA 95003 | 2012-03-26 |
| 1730452228 | Lisa Dopfel | Speech-Language Pathologist | 116 Glen Drive, Aptos, CA 95003 | 2012-02-15 |
| 1417279506 | Kristen Claassen | Counselor | 3060 Valencia Ave Suite 7, Aptos, CA 95003 | 2010-02-17 |
| 1699904003 | Bridgete H Clark | Dentist | 6500 Soquel Drive, Aptos, CA 95003 | 2009-07-07 |
| 1164658316 | Families Together | Community/Behavioral Health | 9057 Soquel Drive C Ste A, Aptos, CA 95003 | 2009-06-02 |
| 1720237647 | Rebecca Ann Golden | Marriage & Family Therapist | 124 Rancho Del Mar, Aptos, CA 95003 | 2008-09-16 |
| Find all providers in zip 95003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568765782 | Evans Whitaker | Family Medicine | 620 Bear Valley Rd, Aptos, CA 95003-9744 | 2010-12-09 |
| 1720228000 | Salvatore Fratianni D O-a Medical Corporation | Family Medicine | 245 Sea Ridge Rd Ste A, Aptos, CA 95003-4364 | 2009-02-26 |
| 1053446237 | William R Heller | Family Medicine | 10098 Soquel Dr, Aptos, CA 95003-4926 | 2007-02-21 |
| 1215080932 | Deborah Malka | Family Medicine | 9099 Soquel Dr Ste 2, Aptos, CA 95003-4033 | 2007-01-18 |
| 1649330101 | Salvatore Fratianni | Family Medicine | 245 Searidge Rd, Aptos, CA 95003 | 2006-12-12 |
| 1104845676 | Keith Stanfield Rayburn | Family Medicine | 9515 Soquel Dr Ste 100, Aptos, CA 95003-4136 | 2006-07-18 |
| 1669790317 | Kenneth Andrews | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2010-05-05 |
| 1962676676 | Judith Angelica Garcia | Family Medicine | 9515 Soquel Dr, Suite 100, Aptos, CA 95003-4135 | 2008-04-15 |
| 1881892685 | Allison Marie Helms | Family Medicine | 7600 Old Dominion Ct, Aptos, CA 95003-3821 | 2007-07-03 |
| 1841325024 | Steven Ellis | Family Medicine | 7539 Soquel Drive, Aptos, CA 95003-4926 | 2007-02-21 |
| Find all providers in APTOS | ||||
Please comment or provide details below to improve the information on ROBERT CLARK.
| 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.