DR. CLARK EDWARD GAILEY (NPI# 1609816487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609816487 |
| Entity Type | Individual |
| Full Name | DR. CLARK EDWARD GAILEY |
| Credential | AU.D. |
| Practice Address |
8810 Rio San Diego Dr San Diego CA 92108-1622 |
| Mailing Address |
3521 Foursome Dr La Mesa CA 91941-8052 |
| Practice Telephone | 6194005007 |
| Practice Fax Number | 6194005008 |
| Mailing Telephone | 6194650160 |
| Mailing Fax Number | 6194005008 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AU1213 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
8810 RIO SAN DIEGO DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1508412461 | Shawnee Brew | Psychologist | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2019-08-15 |
| 1255897369 | Kiara Chanel Caryl Wesley | Psychologist | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2019-02-13 |
| 1881040236 | Jamie Porcadas | Family Medicine | 8810 Rio San Diego Dr, San Diego, CA 92108 | 2016-05-04 |
| 1336510387 | Victoria A. Farrow | Psychologist | 8810 Rio San Diego Dr, (116a4z), San Diego, CA 92108-1698 | 2015-10-16 |
| 1730570235 | Sara Crouch | Social Worker | 8810 Rio San Diego Dr, Suite 2161, San Diego, CA 92108-1698 | 2015-02-05 |
| 1588075865 | Okagbuo Constantine Isidienu | Licensed Vocational Nurse | 8810 Rio San Diego Dr, 2nd Floor, San Diego, CA 92108-1698 | 2014-05-08 |
| 1407160823 | Denise Catherine Ferraro-trapp | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2010-07-27 |
| 1093046682 | Patience Allison | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2010-01-20 |
| 1255563656 | Caleb Yoon Yol Ra | Social Worker | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2009-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1033727961 | Nicholas Anthony Faillace | Audiologist | 3590 Camino Del Rio N Ste 201, San Diego, CA 92108-1707 | 2020-07-16 |
| 1447870092 | Scj Audiology and Monitoring PC | Audiologist | 5895 Friars Rd Apt 5101, San Diego, CA 92110-6016 | 2020-04-23 |
| 1659883122 | Cris Teena Hunt | Audiologist | 4705 Del Monte Ave, San Diego, CA 92107-3501 | 2017-10-24 |
| 1043683899 | Joan Wingfield | Audiologist | 12579 Cresta Pl, San Diego, CA 92128-2312 | 2015-11-02 |
| 1710367735 | Synapse Advanced Audiology, Inc. | Audiologist | 6727 Flanders Dr Ste 204, San Diego, CA 92121-2926 | 2015-06-04 |
| 1447664149 | Hung Mai | Audiologist | 7910 Frost St Ste 420, San Diego, CA 92123-2765 | 2014-06-20 |
| 1326461351 | Lauren Kristen Harrison | Audiologist | 2815 Camino Del Rio S Ste 220, San Diego, CA 92108-3817 | 2014-01-27 |
| 1992062806 | Linda Mclean Dye | Audiologist | 6125 Printwood Way, San Diego, CA 92117-3346 | 2012-04-16 |
| 1982985073 | Alycia H Anzalone | Audiologist | 4413 La Jolla Village Dr, Sp P-1, San Diego, CA 92122-1264 | 2011-09-01 |
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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.