DR. SAMUEL OWEN CLARKE (NPI# 1306045224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306045224 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL OWEN CLARKE |
| Credential | MD |
| Practice Address |
2315 Stockton Blvd Sacramento CA 95817-2201 |
| Practice Telephone | 9167345010 |
| Mailing Telephone | 9167345010 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A106690 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529304 | Samuel Damain Pepeto Clarke | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2020-08-19 |
| 1508351644 | Samuel Clarke | Physical Therapist | 70 Post Office Park Ste 7007, Wilbraham, MA 01095-1291 | 2018-06-29 |
| 1558740118 | Samuel Frederick Webster Clarke | Internal Medicine | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2015-05-28 |
| 1275566119 | Samuel L Clarke | Family Medicine | 155 Academy Ave, Greenwood, SC 29646-3869 | 2006-07-07 |
| Street Address |
2315 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113758 | Allan Douglas Siefkin | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2005-06-09 |
| 1467053371 | David Lee Wilson Jr. | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-06 |
| 1477154722 | Myleen Dumagan Romarate | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-03 |
| 1487252425 | Kristina Marie Hernandez | General Practice | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-10-12 |
| 1386251460 | David E Canubida | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-09-23 |
| 1467064436 | Jomelyn Francisco Esteron | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-20 |
| 1750991212 | Jasmeet Singh | Pharmacist | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-08 |
| 1942810858 | Allan Russell Martin | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-05 |
| 1093323941 | Cheng Hsuan Chen | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-16 |
| 1225656432 | Jessica Stephanie Kim | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| 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 |
|---|---|---|---|---|
| 1568850709 | Jessica Paz | Emergency Medicine | 4610 X Street, Apt 154, Sacramento, CA 95817 | 2014-12-22 |
| 1215221635 | Alison Barrow | Emergency Medicine | 4100 Folsom Blvd, Unit 1b, Sacramento, CA 95819-4055 | 2011-06-02 |
| 1538458351 | Boomer Medical Clinic | Emergency Medicine | 3525 Watt Ave, Sacramento, CA 95821 | 2011-04-01 |
| 1245551001 | Jeffrey Lynn Wiswell Jr. | Emergency Medicine | 4150 V Street, Pssb Suite 2100, Dept of Emergency Medicine, Uc Davis Medical Center, Sacramento, CA 95817 | 2010-06-16 |
| 1114246287 | Julianne Marie Awrey | Emergency Medicine | 2315 Stockton Blvd., Pssb 2100, Sacramento, CA 95817 | 2010-05-27 |
| 1629394036 | Ryan Joseph Ribeira | Emergency Medicine | 3126 W St Apt 2, Sacramento, CA 95817-1273 | 2010-04-09 |
| 1427371087 | Omar R Washington | Emergency Medicine | 3424 52nd St, Sacramento, CA 95820 | 2010-03-10 |
| 1255654570 | Jamal Rahman Rahimi | Emergency Medicine | 4870 T St., Sacramento, CA 95819 | 2010-03-02 |
| 1508197591 | Seyun Kim | Emergency Medicine | 1501 16th St Apt 205, Sacramento, CA 95814-6075 | 2010-01-15 |
| 1205164050 | Sage Wexner | Emergency Medicine | 4510 V St, Suite 2100, Sacramento, CA 95817 | 2009-12-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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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.