DR. CHESTER DEAN CLARK (NPI# 1629089404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629089404 |
| Entity Type | Individual |
| Full Name | DR. CHESTER DEAN CLARK |
| Credential | D.P.M. |
| Practice Address |
1611 S Euclid St Anaheim CA 92802-2406 |
| Practice Telephone | 7145352806 |
| Practice Fax Number | 7149991167 |
| Mailing Telephone | 7145352806 |
| Mailing Fax Number | 7149991167 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
E2464 | CA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336437276 | Chester Irvin Clark II | Family Medicine | 157 Upland Ave, Apt. A, Horsham, PA 19044-2616 | 2011-07-13 |
| 1750653127 | Chester Van Clark Jr. | Dentist | 439 E Thompson St, Amity, AR 71921-8602 | 2012-02-01 |
| Street Address |
1611 S EUCLID ST |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| Find all providers in zip 92802 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926808 | James C. Lee, Dpm A Professional Corp | Podiatrist | 5475 E La Palma Ave, Suite 208, Anaheim, CA 92807-2075 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801411988 | David W. Hellewell, D.p.m. Inc | Podiatrist | 17822 Beach Blvd Ste 407, Huntington Beach, CA 92647-7511 | 2020-06-15 |
| 1265053672 | Elite Atlantic Foot & Ankle Clinic | Podiatrist | 925 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-1063 | 2020-04-27 |
| 1467099085 | Berkeley Foot and Ankle Podiatry Group, Inc | Podiatrist | 106 La Casa Via Ste 270, Walnut Creek, CA 94598-3015 | 2019-12-02 |
| 1164902565 | Optimum Podiatry Services Inc | Podiatrist | 365 Hawthorne Ave Ste 202, Oakland, CA 94609-3114 | 2018-08-16 |
| 1427536697 | Rodeo Surgical Institute Inc. | Podiatrist | 421 N Rodeo Dr Ste T13, Beverly Hills, CA 90210-4500 | 2018-07-31 |
| 1902340201 | San Mateo Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr Ste 212, San Mateo, CA 94401-3843 | 2016-12-06 |
| 1285018986 | Platinum Health Center | Podiatrist | 1125 E 17th St Ste E101, Santa Ana, CA 92701 | 2015-07-13 |
| 1114211786 | Ross Eldon Biederman | Podiatrist | 140 Wyoming Street, June Lake, CA 93529 | 2011-06-01 |
| 1487885414 | Eugene Marvin Krank Jr. | Podiatrist | 4358 W 136th St, #d, Hawthorne, CA 90250-7127 | 2009-08-08 |
| 1861629248 | Tanya Panichpakdee | Podiatrist | 357 Calle Marseille, Long Beach, CA 90814-3219 | 2009-06-12 |
| Find all providers with the same taxonomy | ||||
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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.