MR. ED A CLARKE


Address: 9925 International Blvd, Suite 6, Oakland, CA 94603-2558
Phone: 5105623731

MR. ED A CLARKE (NPI# 1497997167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497997167
Entity Type Individual
Full Name MR. ED A CLARKE
Credential MASTERS THEOLOGY
Practice Address 9925 International Blvd
Suite 6
Oakland
CA 94603-2558
Practice Telephone 5105623731
Practice Fax Number 5105623731
Mailing Telephone 5105623731
Mailing Fax Number 5105623731
Enumeration Date 2009-03-27
Last Update Date 2009-03-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP1600X Counselor
Specialization: Pastoral
Behavioral Health & Social Service Providers

Office Location

Street Address 9925 INTERNATIONAL BLVD
SUITE 6
City OAKLAND
State CA
Zip Code 94603-2558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447250998 East Oakland Obs Gyn Med Gp Inc Obstetrics & Gynecology 9925 International Blvd, Ste 1, Oakland, CA 94603 2005-07-27
1912539966 Keyona Boykin Nurse Practitioner 9925 International Blvd, Oakland, CA 94603-2558 2020-02-07
1861023640 Kayla Perry Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2020-01-30
1558992347 Raven Dixon Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2020-01-30
1831720630 Macy Dion Harris Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2020-01-30
1073144812 Kye Duren Case Management 9925 International Blvd, Oakland, CA 94603-2558 2020-01-30
1699305565 Phyllis Marie Brown-little Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2020-01-20
1104466549 Tavare Williams Sr. Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2020-01-14
1477196210 Rafael Kenney Case Manager/Care Coordinator 9925 International Blvd, Oakland, CA 94603-2558 2019-10-24
1174177679 Megan Richardson Family Medicine 9925 International Blvd, Oakland, CA 94603-2558 2019-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235694092 Kimberlyn Taylor Behavioral Analyst 11042 Robledo Dr, Oakland, CA 94603 2019-02-06
1114414315 Christopher Maurice Cain Community Health Worker 9925 International Blvd #5, Oakland, CA 94603 2018-04-13
1720508039 Jessie James King Jr. Counselor 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 2017-06-27
1619426475 Susana Obispo Counselor 10429 International Boulevard, Oakland, CA 94603 2016-09-22
1760764955 Paul E Rammer Marriage & Family Therapist 1523 Chandler Street, Oakland, CA 94603 2011-09-13
1285184846 Sharrise Williams Counselor 10429 International Blvd, Oakland, CA 94603 2016-10-07
1659821213 Linna Hov Counselor 10429 International Blvd, Oakland, CA 94603 2016-10-07
1699729426 Robert Scott Millard Physical Medicine & Rehabilitation 500 Arguello Street, Suite 100, Redwood City, CA 94603 2006-05-19
1982920542 Alwaha Travel Agency for Hajj and Umrah LLC Non-emergency Medical Transport (VAN) 60 98th Ave Ste 100, Oakland, CA 94603-1000 2010-04-07
1336637644 Carlos Leonel Lopez Technician, Other 301 Clara St, Oakland, CA 94603-1101 2018-04-23
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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508338427 Frank Louis Smith Counselor 559 16th St, Oakland, CA 94612-1515 2018-12-18

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1407468523 Jessica Flanigan Counselor 29 Homestead Blvd, Mill Valley, CA 94941-3425 2020-08-19
1720606825 Sam Chang Counselor 2649 Dorado Ct, Thousand Oaks, CA 91362-4916 2020-07-06
1528684115 Robb Ring Counselor 802 E Chapman Ave, Orange, CA 92866-1650 2020-06-19
1174147888 Ever Anselmo Mesa Counselor 2710 Gateway Oaks Dr Ste 100, Sacramento, CA 95833-3505 2020-05-29
1326677782 Jim Carel Ten Bosch Counselor 35382 Roca Dr, Fremont, CA 94536-5460 2020-04-07
1841828563 Elinor Anne Benefield Counselor 1918 Henry Ave, Pinole, CA 94564-2131 2020-03-29
1831726280 Robin R Wells Counselor 955 Moraga Rd, Lafayette, CA 94549-4524 2020-03-25
1306472147 Christine Noelle Haider-winnett Counselor 641 G St Apt A, Davis, CA 95616-3753 2020-03-12
1174163968 Mark Seelig Counselor 4665 Hawaina Way, Kelseyville, CA 95451-9757 2020-01-09
1275175382 Workforce Chaplaincy Counselor 4000 W Robinwood Ct, Visalia, CA 93291-5554 2019-10-09
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Competitor

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City OAKLAND
Zip Code 94603

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Dataset Information

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.

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