JENNIFER MARIE CLARK (NPI# 1669626669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669626669 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE CLARK |
| Credential | RN, NP (MSN) |
| Practice Address |
19601 Mariner Ave Torrance CA 90503-1647 |
| Practice Telephone | 3103710813 |
| Mailing Telephone | 3103710813 |
| Mailing Fax Number | 3106731418 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP 17909 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
19601 MARINER AVE |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285782 | Birgit Siekerkotte | Family Medicine | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2005-06-16 |
| 1033392949 | Janet Lee Galli | Community Health Worker | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-13 |
| 1932382868 | Eleanor C Knox | Registered Nurse | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-13 |
| 1851574784 | Nancy Jeanne Ingram | Dietitian, Registered | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-13 |
| 1770766685 | Evelyn Yanke | Dietitian, Registered | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-13 |
| 1073796165 | Cherie Wong Maier | Community Health Worker | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-11 |
| 1225211311 | Jessica Nicole Harris | Registered Nurse | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-11 |
| 1447433545 | Mary E Gaekle | Dietitian, Registered | 19601 Mariner Ave, Torrance, CA 90503-1647 | 2007-12-11 |
| 1659336402 | John Wong | Internal Medicine | 19601 Mariner Ave, Torrance, CA 90503-1671 | 2006-04-17 |
| 1922073170 | Thomas Craig Paulsen | Anesthesiology | 19601 Mariner Ave, Torrance, CA 90503-1671 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604754 | Victoria Eileen Meldrum | Nurse Practitioner | 20911 Earl St Ste 380, Torrance, CA 90503-4355 | 2018-09-28 |
| 1063790970 | Theresa Chua Yeomans | Nurse Practitioner | 4816 W Carson St, Torrance, CA 90503-6310 | 2011-07-26 |
| 1932498516 | Mary Louise Robinson | Nurse Practitioner | 19191 S Vermont Ave Ste 200, Torrance, CA 90502-1049 | 2011-04-04 |
| 1013301266 | Ronaldo Mamaril | Nurse Practitioner | 23451 Madison St Ste 290, Torrance, CA 90505-4737 | 2015-03-26 |
| 1154606127 | Rochelle Joy Lacuesta Galeon | Nurse Practitioner | 3565 Del Amo Blvd, Torrance, CA 90503-1637 | 2011-10-20 |
| 1578857215 | Jamie Lee Reyes Tran | Nurse Practitioner | 1124 W Carson St, Building J-3, Torrance, CA 90502-2006 | 2011-05-28 |
| 1790936649 | Susan N Starr | Nurse Practitioner | 3285 Skypark Dr, Torrance, CA 90505-5004 | 2008-10-08 |
| 1851548564 | Stephanie J. Jennison | Nurse Practitioner | 19191 S Vermont Ave, Torrance, CA 90502-1018 | 2008-08-25 |
| 1104092667 | Jungok Ha | Nurse Practitioner | 5315 Torrance Blvd, Torrance, CA 90503-4011 | 2008-05-05 |
| 1922290030 | Reiko T Navarro | Nurse Practitioner | 1000 W Carson St, Box 483, Torrance, CA 90502-2004 | 2007-08-13 |
| Find all providers in TORRANCE | ||||
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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.