MRS. ALICIA SUZANNE CLARK (NPI# 1669899985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669899985 |
| Entity Type | Individual |
| Full Name | MRS. ALICIA SUZANNE CLARK |
| Other Name | MS. ALICIA SUZANNE PEREZ |
| Credential | MPAP, PA-C |
| Practice Address |
123 S Alvarado St Los Angeles CA 90057-2201 |
| Practice Telephone | 2139897700 |
| Mailing Telephone | 2139897700 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
51943 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720647373 | Alicia Clark | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2019-06-07 |
| 1407349012 | Alicia Ranae Clark | Dentist | 56720 Calumet Ave, Calumet, MI 49913-1967 | 2018-06-08 |
| 1821469537 | Alicia Clark | Nurse Practitioner | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-3201 | 2015-10-08 |
| 1396125522 | Alicia Kohn Clark | Physical Therapist | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2015-06-03 |
| 1952578460 | Alicia T Clark | Internal Medicine | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-05-14 |
| 1134216690 | Alicia Clark | Psychologist | 339 W Loucks St, Sheridan, WY 82801-4121 | 2006-10-06 |
| 1801898440 | Alicia H Clark | Nurse Practitioner | 518 West Gum Street, Marion, KY 42064-1516 | 2005-08-12 |
| Street Address |
123 S ALVARADO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90057-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407983372 | Tania Medina | Family Medicine | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2007-02-27 |
| 1073977658 | Maria Rosario Perez | Registered Nurse | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2016-04-08 |
| 1154780328 | Joseph Patrick Carrillo | Nurse Practitioner | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2016-02-17 |
| 1578968913 | Jennifer Oh | Nurse Practitioner | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2014-10-28 |
| 1174950299 | Marshall Lo | Pharmacist | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2013-10-03 |
| 1356609762 | Clinica Msr. Oscar A. Romero | Clinic/Center | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2012-04-24 |
| 1013285154 | Ana Ruiz De Galarreta | Physician Assistant | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2011-12-04 |
| 1013284934 | Abigail M. Voss | Nurse Practitioner | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2011-11-21 |
| 1417231549 | Julie K Chang | Nurse Practitioner | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2011-10-07 |
| 1922304922 | Christina Maureen Recinos | Nurse Practitioner | 123 S Alvarado St, Los Angeles, CA 90057-2201 | 2011-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1437714615 | Jackeline L Ramon | Social Worker | 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 | 2019-05-03 |
| 1467015743 | Chanhwi Jung | Acupuncturist | 349 South Lafayette Park Place, #208, Los Angeles, CA 90057 | 2019-04-22 |
| 1356818850 | Anshim Acupuncture Inc | Acupuncturist | 4501 Alameda St., #107b #115, Los Angeles, CA 90057 | 2018-11-01 |
| 1538634670 | Karina Herrera | Case Manager/Care Coordinator | 679 S. Hampshire Ave, Los Angeles, CA 90057 | 2018-10-04 |
| 1306323506 | Jessica Myung Jin Yun | Counselor | 520 S Lafayette Park Pl, Unit 300, Los Angeles, CA 90057 | 2018-07-20 |
| 1851887012 | Scott Moon | Dentist | 2426 W. 8th St. #209, Los Angeles, CA 90057 | 2018-07-10 |
| 1780176107 | Bianca Zafiro | Case Manager/Care Coordinator | 672 S Lafayette Park Place, Suite 6, Los Angeles, CA 90057 | 2018-06-01 |
| 1639677438 | Claudia E Vides Inc A Dental Corporation | Clinic/Center | 2033 W. 7th Street, Los Angeles, CA 90057 | 2018-01-26 |
| 1720596414 | Hee Sun No | Pharmacist | 269 S Lafayette Park Pl, 210, Los Angeles, CA 90057 | 2018-01-16 |
| Find all providers in zip 90057 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| 1942738943 | Sophavy Suon | Physician Assistant | 11611 San Vicente Blvd Lbby Level, Los Angeles, CA 90049-5106 | 2017-06-02 |
| 1619429503 | Rachel Frankenthal | Physician Assistant | 200 Medical Plz Ste 220, Ucla Department of Obgyn, Los Angeles, CA 90095-0001 | 2016-10-26 |
| 1982152815 | Accessmed A Physician Assistant Professional Corporation | Physician Assistant | 1055 W 7th St Fl 33, Los Angeles, CA 90017-2577 | 2016-09-20 |
| 1043766363 | Amber Joy Rangel | Physician Assistant | 2523 Armacost Ave, Los Angeles, CA 90064-2715 | 2016-08-28 |
| 1184080459 | Doreen Yasharel | Physician Assistant | 824 S Wooster St Apt 306, Los Angeles, CA 90035-1745 | 2016-01-02 |
| 1649649443 | Thuy Vo | Physician Assistant | 5841 Bowcroft St, Unit 2, Los Angeles, CA 90016-4955 | 2015-09-22 |
| 1649655663 | Carlee Ettinger | Physician Assistant | 2751 Rinconia Dr, Los Angeles, CA 90068-2227 | 2015-07-21 |
| 1841681467 | Lauren Layson | Physician Assistant | 4049 Via Marisol, Los Angeles, CA 90042-5055 | 2015-02-18 |
| 1871981282 | Dianne Desiree Rivera Navoa | Physician Assistant | 8631 W 3rd St Ste 1035e, Los Angeles, CA 90048-5964 | 2015-01-07 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90057 |
Please comment or provide details below to improve the information on MRS. ALICIA SUZANNE CLARK.
| 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.