VICTORIA CLARK (NPI# 1568924082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568924082 |
| Entity Type | Individual |
| Full Name | VICTORIA CLARK |
| Practice Address |
125 W Mission Ave Escondido CA 92025-1720 |
| Practice Telephone | 7607473424 |
| Practice Fax Number | 7607473435 |
| Mailing Telephone | 7607473424 |
| Mailing Fax Number | 7607473435 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN95089079 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399427 | Victoria Regina Clark | Physician Assistant | 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 | 2017-07-24 |
| 1730567082 | Victoria Ann Clark | Counselor | 4300 Sw Sw 13th Street, Gainesville, FL 32608 | 2015-05-07 |
| 1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
| 1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
| 1972153757 | Victoria Ann Clark | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2019-09-13 |
| 1205494275 | Victoria Clark | Occupational Therapist | 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360-3969 | 2019-06-04 |
| 1831614494 | Victoria Lea Clark | Case Manager/Care Coordinator | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-08-04 |
| 1053764076 | Victoria Clark | Physician Assistant | 1 Robert Wood Johnson Pl, Room 396, New Brunswick, NJ 08901-1928 | 2016-07-14 |
| 1346699733 | Victoria E Clark | Neurological Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-07 |
| 1457705915 | Victoria Lee Clark | Dietitian, Registered | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2016-04-20 |
| Street Address |
125 W MISSION AVE |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426852 | Julie Marie Wilcox | Psychiatry & Neurology | 125 W Mission Ave, Escondido, CA 92025-1720 | 2005-09-09 |
| 1285020974 | Meghan Schafer | Marriage & Family Therapist | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2015-04-09 |
| 1770979460 | Klara Marie Placek | Student in an Organized Health Care Education/Training Program | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2015-04-09 |
| 1245645605 | Genesis Lopez-cedillo | Student in an Organized Health Care Education/Training Program | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2014-06-24 |
| 1578983664 | Daniel Magos | Social Worker | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2014-04-16 |
| 1811262504 | Jean Ellen Selzer | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2012-03-14 |
| 1114298825 | Jeffrey Martin Hall | Peer Specialist | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2012-01-26 |
| 1740551407 | Emmett Leigh Thomason IIi | Marriage & Family Therapist | 125 W Mission Ave, Suite 103, Escondido, CA 92025-1720 | 2012-01-25 |
| 1124395009 | Kimberly Guess | Dietitian, Registered | 125 W Mission Ave, Suite 105, Escondido, CA 92025-1720 | 2011-11-21 |
| 1518260363 | Alisa Marie Mertens | Case Manager/Care Coordinator | 125 W Mission Ave, Escondido, CA 92025-1720 | 2010-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629241435 | Maya Dudinova | Registered Nurse | 474 W Vermont Ave Ste 101, Escondido, CA 92025-6584 | 2008-04-12 |
| 1710019823 | Debbie Hunter Holton | Registered Nurse | 474 W Vermont Ave Ste 104, Escondido, CA 92025-6584 | 2007-03-12 |
| 1386720928 | Kathy A. Edmonston | Registered Nurse | 474 W Vermont Ave, Ste 101, Escondido, CA 92025-6584 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
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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.