CLARKE NEUROLOGY A PROFESSIONAL CORPORATION (NPI# 1346780905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346780905 |
| Entity Type | Organization |
| Organization Name | CLARKE NEUROLOGY A PROFESSIONAL CORPORATION |
| Practice Address |
400 Newport Center Dr Ste 310 Newport Beach CA 92660-7601 |
| Practice Telephone | 9497012811 |
| Mailing Telephone | 9497012811 |
| Mailing Fax Number | 9496441911 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | DR. TERYN BREE CLARKE (PRESIDENT) |
| Authorized Official Telephone | 9497012811 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
A72641 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
400 NEWPORT CENTER DR STE 310 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497756522 | William N Sokol Jr. | Allergy & Immunology | 400 Newport Center Dr, Ste 406, Newport Beach, CA 92660-7630 | 2005-08-10 |
| 1225573009 | James L Winterton Dds, Inc. | Clinic/Center | 400 Newport Center Dr, Suite 304, Newport Beach, CA 92660-7601 | 2017-01-03 |
| 1235673807 | Surgery Center of Newport Beach, LLC. | Clinic/Center | 400 Newport Center Dr, Suite 102, Newport Beach, CA 92660-7601 | 2016-12-15 |
| 1346790516 | Ascension Sports Medicine, Inc | Clinic/Center | 400 Newport Center Dr, Suite 204, Newport Beach, CA 92660-7601 | 2016-10-11 |
| 1720430739 | David J. Haupt, Dpm | Prosthetic/Orthotic Supplier | 400 Newport Center Dr, Suite #411, Newport Beach, CA 92660-7601 | 2016-07-01 |
| 1033535919 | Arthur John Helliwell | Dentist | 400 Newport Center Dr, Suite 304, Newport Beach, CA 92660-7601 | 2014-03-14 |
| 1831531623 | Alpha Primary Care, Inc. | Clinic/Center | 400 Newport Center Dr, Suite 401, Newport Beach, CA 92660-7601 | 2013-07-23 |
| 1316389141 | Nazih M. Haddad, Md Inc. | Otolaryngology | 400 Newport Center Dr, 704, Newport Beach, CA 92660-7601 | 2013-07-22 |
| 1386990471 | James Leon Winterton | Dentist | 400 Newport Center Dr, Suite 304, Newport Beach, CA 92660-7601 | 2012-07-26 |
| 1649545070 | Sharen Knudsen Jeffries Md PC | Clinic/Center | 400 Newport Center Dr, Suite 500, Newport Beach, CA 92660-7601 | 2012-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624156 | Maria Elena Smith | Psychiatry & Neurology | 1068 Roy Frerichs Ln, Tracy, CA 95377-6605 | 2020-03-18 |
| 1639724057 | Nidal A Khalili Md,inc | Psychiatry & Neurology | 7551 Timberlake Way Ste 240, Sacramento, CA 95823-5422 | 2019-08-02 |
| 1871057687 | Justin Galvis | Psychiatry & Neurology | 3530 56th St, Sacramento, CA 95820-2341 | 2019-01-25 |
| 1861904401 | Monte S Buschsbaum | Psychiatry & Neurology | 1455 Coral Dr, Laguna Beach, CA 92651-1910 | 2017-11-03 |
| 1154864874 | Center for Neurohealth Inc | Psychiatry & Neurology | 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 | 2016-11-29 |
| 1922481019 | Robert Rafal | Psychiatry & Neurology | 3 Captain Dr, Apt D404, Emeryville, CA 94608-1740 | 2015-07-07 |
| 1386993897 | Ernest William Klatte | Psychiatry & Neurology | 317 Ramona Place, Costa Mesa, CA 92627 | 2012-08-30 |
| 1265788426 | Sam A Castro, M.d., Inc. | Psychiatry & Neurology | 333 W Shaw Ave, #7, Fresno, CA 93704-2657 | 2012-07-25 |
| 1871858084 | Joseph H. Rodd M.d. Inc | Psychiatry & Neurology | 20710 S. Leapwood Ave., Suite B, Carson, CA 90746 | 2012-07-13 |
| 1821283318 | Laurence Stuart Rivkin | Psychiatry & Neurology | 6265 Cypress Point Rd, San Diego, CA 92120-3814 | 2007-09-08 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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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.