DR. CLARK STUART PADDOCK (NPI# 1497784110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497784110 |
| Entity Type | Individual |
| Full Name | DR. CLARK STUART PADDOCK |
| Credential | M.D. |
| Practice Address |
23962 Alicia Pkwy Suite I1 Mission Viejo CA 92691-3940 |
| Mailing Address |
1904 N Heliotrope Dr Santa Ana CA 92706-2538 |
| Practice Telephone | 9494527699 |
| Mailing Telephone | 7146240772 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A51251 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A512510 | 05 |
| Street Address |
23962 ALICIA PKWY SUITE I1 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603718 | Maria Savitt | Internal Medicine | 23962 Alicia Pkwy, Mission Viejo, CA 92691-3940 | 2005-07-14 |
| 1205209848 | Cep America - Auc, PC | Family Medicine | 23962 Alicia Pkwy, Mission Viejo, CA 92691-3940 | 2015-11-04 |
| 1013150317 | Nader A. Ahmad | Family Medicine | 23962 Alicia Pkwy, Saddleback Family & Urgent Care, Mission Viejo, CA 92691-3940 | 2009-04-16 |
| 1023140084 | Julie Palmer | Physician Assistant | 23962 Alicia Pkwy, Mission Viejo, CA 92691-3940 | 2007-03-12 |
| 1164535381 | California Emergency Physicians | Family Medicine | 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691-3940 | 2006-08-15 |
| 1578571170 | Gene Phuoc Huu Bui | Emergency Medicine | 23962 Alicia Pkwy, Suite I1, Mission Viejo, CA 92691-3940 | 2006-08-03 |
| 1154352003 | Gail Silver | Family Medicine | 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691-3940 | 2006-07-06 |
| 1902834575 | Linda Christine Kiehlmeir | Physician Assistant | 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691-3940 | 2006-06-30 |
| 1447296595 | Susan Jacosky Medley | Registered Nurse | 23962 Alicia Pkwy, Ste I-1, Mission Viejo, CA 92691-3940 | 2006-06-20 |
| 1538109418 | Mohammad Faisal Al-sayyad | Emergency Medicine | 23962 Alicia Pkwy, Mission Viejo, CA 92691-3940 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 1831462118 | Stacy Ann Fikert | Emergency Medicine | 25262 Terreno Dr, Mission Viejo, CA 92691-5528 | 2012-02-16 |
| 1932563533 | Tanya Dall | Emergency Medicine | 27700 Medical Center Rd, Mission Viejo, CA 92691 | 2016-04-09 |
| 1700187291 | Gregory J Joy Md Acute Care Services Inc | Emergency Medicine | 26922 Oso Pkwy, Suite 380, Mission Viejo, CA 92691-5800 | 2010-11-15 |
| 1457515272 | Joseph Lochinvar Dinglasan Jr. | Emergency Medicine | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2008-07-10 |
| 1598939472 | Konstantinos Melahoures | Emergency Medicine | 27660 Santa Margarita Pkwy, Mission Viejo, CA 92691-6674 | 2008-04-22 |
| 1053522078 | Ghalib Mohammad Wahidi | Emergency Medicine | 26800 Crown Valley Pkwy, Suite 315, Mission Viejo, CA 92691-6384 | 2007-05-24 |
| 1144431917 | Michael F Mccormack | Emergency Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2007-05-24 |
| 1801965835 | Daniel Norton Firestone | Emergency Medicine | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2006-11-06 |
| 1942211651 | Gregory J Joy | Emergency Medicine | 26991 Crown Valley Pkwy, Mission Viejo, CA 92691-6528 | 2006-08-10 |
| 1851319503 | Kenneth T Kwon | Emergency Medicine | 27700 Medical Center Rd, Mission Viejo, CA 92691-6426 | 2006-07-18 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
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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.