GREGORY D. CLARK (NPI# 1285600098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285600098 |
| Entity Type | Individual |
| Full Name | GREGORY D. CLARK |
| Credential | D.P.M. |
| Practice Address |
10666 N Torrey Pines Rd La Jolla CA 92037-1027 |
| Mailing Address |
File# 54433 Los Angeles CA 90074-0001 |
| Practice Telephone | 8585549946 |
| Practice Fax Number | 8587845933 |
| Mailing Telephone | 8587845906 |
| Mailing Fax Number | 8587845933 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3359 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000E33590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760991012 | Gregory Clark | Driver | 1091 Old South Dr, Lakeland, FL 33811 | 2017-09-28 |
| 1184758229 | Gregory Ray Clark | Physical Therapist | 3 Windsor Ct, Shawnee, OK 74804-2330 | 2007-03-14 |
| 1114064797 | Gregory Dale Clark | Dentist | 4212 Mcever Rd, Oakwood, GA 30566-2237 | 2007-01-31 |
| 1225141823 | Gregory Lynn Clark | Specialist | 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 | 2006-08-16 |
| 1689608952 | Gregory D Clark | Social Worker | 118 Broadway N, Ste 810, Fargo, ND 58102-4949 | 2006-07-10 |
| 1164409728 | Gregory Clark | Counselor | 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 | 2005-12-26 |
| 1528627833 | Gregory Scott Clark | Nurse Anesthetist, Certified Registered | 3333 W Deyoung St, Marion, IL 62959-5884 | 2019-06-10 |
| 1073178851 | Gregory Clark | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2019-05-07 |
| 1548736622 | Gregory Allen Clark | Marriage & Family Therapist | 1150 5th St Ste 270, Coralville, IA 52241-2933 | 2018-10-16 |
| 1881055911 | Gregory Scott Clark Jr. | Counselor | 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 | 2016-03-17 |
| Street Address |
10666 N TORREY PINES RD |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513610 | James Francis Brown | Podiatrist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-07-26 |
| 1356958250 | Tyrone Bryant | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-09-25 |
| 1356965552 | Priya Reddy | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1114541497 | Vivian Sardone | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-06-03 |
| 1174145387 | Samantha Tu Duong | Pharmacist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-05-11 |
| 1144840646 | Lee Kyung Hong | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-24 |
| 1548880503 | Aren Ebrahimi | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-20 |
| 1295355303 | Max Akihiro Macmillan | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-17 |
| 1336768886 | Jean Min | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| 1780203232 | Sunit Rajit Shah | Student in an Organized Health Care Education/Training Program | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083851950 | Joseph Ellis | Podiatrist | 8677 Villa La Jolla Dr, 1208, La Jolla, CA 92037-2354 | 2009-01-14 |
| 1073513610 | James Francis Brown | Podiatrist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2005-07-26 |
| 1356459051 | Michael Lee Simons | Podiatrist | 7301 Girard Ave, #202, La Jolla, CA 92037 | 2006-08-25 |
| 1013961598 | Dean J. Vayser | Podiatrist | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
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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.