DR. DAVID A. CLARK (NPI# 1619952421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619952421 |
| Entity Type | Individual |
| Full Name | DR. DAVID A. CLARK |
| Credential | M.D., MEDICAL CORP. |
| Practice Address |
880 Cass St Suite 108 Monterey CA 93940-2947 |
| Practice Telephone | 8316499330 |
| Practice Fax Number | 8316499335 |
| Mailing Telephone | 8316499330 |
| Mailing Fax Number | 8316499335 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
G12303 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0057973 | 05 | |
| CA | MEDICARE INDIV-STAN PTAN | 00G123035 | 01 |
| CA | MEDICARE GRP-STAN PTAN | ZZZ04915Z | 01 |
| CA | MEDICARE GRP PTAN | ZZZ39341Z | 01 |
| CA | CHAMPUS | 06E9948 | 01 |
| CA | MEDICARE INDIVIDUAL PTAN | 00G123034 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1568778793 | David F Clark | Social Worker | 4425 S Jones Blvd, Suite D3, Las Vegas, NV 89103-3370 | 2010-08-25 |
| 1407093065 | David E. Clark | Dietitian, Registered | 4132 Sierra Park Ter, Dayton, OH 45440-3324 | 2009-01-19 |
| 1962668202 | David Allen Clark | Dentist | 4209 Tieton Dr, Suite 102, Yakima, WA 98908-3377 | 2008-08-06 |
| 1548427693 | David Kyle Clark | Dentist | 2120 Bert Kouns Loop Ste D, Shreveport, LA 71118-3351 | 2008-05-16 |
| 1790957603 | David C. Clark | Pharmacist | 1215 Route 31, Macedon, NY 14502-9763 | 2008-03-31 |
| 1275722365 | David Allan Clark | Counselor | 50196 872nd Rd, Page, NE 68766-5539 | 2007-10-15 |
| 1649488214 | David D Clark | Chiropractor | 2573 N Reading Rd, Denver, PA 17517-9333 | 2007-05-18 |
| 1306059480 | David Roger Clark | Ophthalmology | 2812 Millbrook Ct, Arlington, TX 76012-2116 | 2007-05-07 |
| 1619049327 | David B Clark | Chiropractor | 106 Se 12th St, Oak Grove, MO 64075-9538 | 2006-11-15 |
| Street Address |
880 CASS ST SUITE 108 |
| City | MONTEREY |
| State | CA |
| Zip Code | 93940-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720454432 | Kwiatkowski and Marschik Prof Dental Corp | Clinic/Center | 880 Cass St, Suite#207, Monterey, CA 93940-2947 | 2015-08-17 |
| 1891030433 | Lindley Morris Zerbe | Dentist | 880 Cass St, Suite 104, Monterey, CA 93940-2947 | 2012-12-08 |
| 1831326198 | Darryl E Burns Dpm PC | Podiatrist | 880 Cass St, Suite 103, Monterey, CA 93940-2947 | 2009-06-15 |
| 1205095742 | Eyemd On Cass A Professional Corporation | Optometrist | 880 Cass St, #105, Monterey, CA 93940-2947 | 2008-06-09 |
| 1023286499 | Wayne Lee Richey | Dentist | 880 Cass St, #104, Monterey, CA 93940-2947 | 2008-02-19 |
| 1427123934 | Edward L Stoddard Dds Inc | Dentist | 880 Cass St, Suite 203, Monterey, CA 93940 | 2006-11-21 |
| 1740386663 | Lloyd Nattkemper, Dds, Inc. | Dentist | 880 Cass St, Suite 208, Monterey, CA 93940-2947 | 2006-09-16 |
| 1821109349 | David A. Clark, M.d., Medical Corporation | Specialist | 880 Cass St, Suite 108, Monterey, CA 93940-2947 | 2006-08-31 |
| 1477669174 | Katherine Penebre | Nurse Practitioner | 880 Cass St, Suite 209, Monterey, CA 93940-2947 | 2006-08-23 |
| 1205857745 | Terri Lynne Haller | Dentist | 880 Cass St, Suite 109, Monterey, CA 93940-2947 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770145682 | Mogo Urgent Care | Clinic/Center | 2020 Del Monte Avenue, Suite B, Monterey, CA 93940 | 2019-07-01 |
| 1023537883 | Drais and Chow Dental Corporation | Dentist | 21 Upper Ragsdale Suite 160, Monterey, CA 93940 | 2017-09-13 |
| 1639697048 | Neil Northey | Counselor | 343 Dela Vina Ave., Monterey, CA 93940 | 2017-09-06 |
| 1316469075 | Ashley Nicole Walden | Counselor | 1010 Cass St Ste C, Monterey, CA 93940 | 2017-07-13 |
| 1801317524 | Aubrey Nicole Trammell | Behavior Technician | 140 W Franklin St., Unit 202, Monterey, CA 93940 | 2017-07-03 |
| 1366971764 | Marlene Schwaighofer | Behavior Technician | 140 W Franklin Street, Ste. #202, Monterey, CA 93940 | 2017-06-08 |
| 1235668500 | Rochelle Lyrae Winsted | Licensed Psychiatric Technician | Drake House 399 Drake St, Monterey, CA 93940 | 2017-06-08 |
| 1447783386 | Interim Incorporated | Community Based Residential Treatment Facility, Mental Illness | 321 Hawthorne St, Apt B, Monterey, CA 93940 | 2017-04-07 |
| 1851841076 | Joy Dean | Counselor | 343 Dela Vina, Monterey, CA 93940 | 2016-10-12 |
| 1629426416 | Interim Inc | Community Based Residential Treatment Facility, Mental Illness | 604 Pearl St., Monterey, CA 93940 | 2016-06-02 |
| Find all providers in zip 93940 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
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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.