BARBARA LATREASE CLARK (NPI# 1285819318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285819318 |
| Entity Type | Individual |
| Full Name | BARBARA LATREASE CLARK |
| Other Name | BARBARA LATREASE PEARSON |
| Credential | PA-C |
| Practice Address |
2401 Ridgeley #4 Los Angeles CA 90016 |
| Practice Telephone | 3239329646 |
| Practice Fax Number | 3239329646 |
| Mailing Telephone | 3239329646 |
| Mailing Fax Number | 3239329646 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA19103 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL BOARD OF CA | PA19103 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689526 | Barbara A Clark | Technician | 87 Maryland St, Keyser, WV 26726-2910 | 2020-08-13 |
| 1336674381 | Barbara Clark | Social Worker | 1509 Avenue P Ste B, Dodge City, KS 67801-7012 | 2017-04-27 |
| 1164792925 | Barbara Ann Clark | Licensed Practical Nurse | 1310 S Abbe Rd, Apt D, Elyria, OH 44035-7268 | 2012-01-10 |
| 1285960278 | Barbara Jean Clark | Case Manager/Care Coordinator | 719 S Melrose St, Casper, WY 82601-3445 | 2009-10-26 |
| 1245434489 | Barbara Louise Clark | Family Medicine | 2910 E Madison St Ste 211, Seattle, WA 98112-4214 | 2007-06-12 |
| 1114058203 | Barbara R. Clark | Nurse Practitioner | 962 Forest Gln, Jonesboro, GA 30238-8829 | 2007-03-08 |
| 1508992090 | Barbara Oliver Clark | Social Worker | 535 W 217th St, New York, NY 10034-1302 | 2007-02-26 |
| 1427135763 | Barbara Del Clark | Psychologist | 1711 Glade St, College Station, TX 77840-4341 | 2006-11-01 |
| 1205800406 | Barbara Jean Clark | Dietitian, Registered | Va Northern California Health Care System, 150 Muir Rd, Martinez, CA 94553 | 2006-02-14 |
| 1669459707 | Barbara B Clark | Nurse Practitioner | 9309 Old Georgetown Rd, Bethesda, MD 20814-1620 | 2005-12-29 |
| Street Address |
2401 RIDGELEY #4 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790334134 | Rodef & Yousefi Dental Corporation | Dentist | 3736 Crenshaw Blvd, Los Angeles, CA 90016 | 2019-09-09 |
| 1891278016 | Harold Ringgold Jr. | Counselor | 5220 Washington Ste 101 &104, Los Angeles, CA 90016 | 2018-09-13 |
| 1477085330 | Nyul Aegd | Student in an Organized Health Care Education/Training Program | 3743 S Labrea Avenue, Los Angeles, CA 90016 | 2017-03-30 |
| 1770978876 | Alexander Delacruz Jr. | Nutritionist | 2336 Crenshaw Blvd, Suite 101, Los Angeles, CA 90016 | 2015-04-06 |
| 1518358670 | Henry Bratton | Counselor | 2017 Westview Street, Los Angeles, CA 90016 | 2015-02-11 |
| 1063819084 | Karina Ann Chandler-ziegler | Counselor | 5220 Washington Street, Ste. 101, Los Angeles, CA 90016 | 2014-11-20 |
| 1801299136 | Smith Medical Management | Clinical Medical Laboratory | 2953 Palm Grove Ave, Los Angeles, CA 90016 | 2014-10-01 |
| 1366844144 | No Dorm Inc. | Assisted Living Facility | 5222 Washington Blvd., Los Angeles, CA 90016 | 2014-09-23 |
| 1891120853 | Margaret Yarbrough | General Practice | 3717 S. Labrea, #341, Los Angeles, CA 90016 | 2013-09-10 |
| 1821422346 | Circle of Help Foundation | Community/Behavioral Health | 4701 Rodeo Rd., Room #2, #3, Los Angeles, CA 90016 | 2013-09-03 |
| Find all providers in zip 90016 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| 1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
| 1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
| 1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
| 1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
| 1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
| 1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
| 1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
| 1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
| 1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90016 |
Please comment or provide details below to improve the information on BARBARA LATREASE 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.