ROBERT D. CLEMONS (NPI# 1700945458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700945458 |
| Entity Type | Individual |
| Full Name | ROBERT D. CLEMONS |
| Credential | MD |
| Practice Address |
4647 Zion Ave San Diego CA 92120-2507 |
| Practice Telephone | 6195285000 |
| Mailing Telephone | 6195285000 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
G20960 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839503 | Robert Clemons | Marriage & Family Therapist | 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 | 2019-12-29 |
| 1215430798 | Robert M Clemons | Chiropractor | 1710 W 1st St, Ankeny, IA 50023-2526 | 2018-03-12 |
| 1275977837 | Robert Stephen Clemons | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2013-04-24 |
| 1013963339 | Robert Willard Clemons Jr. | Family Medicine | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2006-05-26 |
| 1861495012 | Robert John Clemons | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
| Street Address |
4647 ZION AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332373 | Jon Thomas Umlauf | Family Medicine | 4647 Zion Ave, San Diego, CA 92120 | 2005-10-31 |
| 1316586076 | Michael Lam | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-12-29 |
| 1093358772 | Kaily Walters | Dietitian, Registered | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-24 |
| 1023650496 | Michael Dean Perry | Radiology | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-10-17 |
| 1912558297 | Vishnavi Pailla Reddy | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-26 |
| 1124678016 | Raymond Sami Totah | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-09-12 |
| 1225699416 | Thao Phuong Nguyen | Pharmacist | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-06-27 |
| 1790340073 | Edwin Uribe Contreras | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1588229835 | Anthony Jacob Sutton Mells | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-05-02 |
| 1295399640 | Richard William Comeaux | Student in an Organized Health Care Education/Training Program | 4647 Zion Ave, San Diego, CA 92120-2507 | 2019-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376659995 | Sherry L. Franklin | Pediatrics | 7910 Frost St Ste 435, San Diego, CA 92123-2771 | 2006-08-23 |
| 1033280888 | Michael Everett Gottschalk | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1760553515 | Karen Oerter Klein | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1679644421 | Ron Samuel Newfield | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1588735336 | Susan Alexandra Phillips | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1235200098 | Jane Jinhee Kim | Pediatrics | 8110 Birmingham Way, San Diego, CA 92123-2758 | 2006-11-13 |
| 1134236623 | Thomas Gerald Kelly | Pediatrics | 550 Washington St, Ste #300, San Diego, CA 92103-2213 | 2006-08-23 |
| 1851341275 | Catherine M. Yates | Pediatrics | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037915 | Sena Cantas Orsdemir | Pediatrics | 1 Med Plaza Dr, Irvine, CA 92697-1132 | 2011-09-10 |
| 1770720799 | John Shih-chang Ching | Pediatrics | 9300 Valley Childrens Pl # Mb23, Madera, CA 93636-8761 | 2009-01-13 |
| 1386890135 | Nicolas Leigh Cuttriss | Pediatrics | 300 Pasteur Dr Rm G-313, Stanford, CA 94305-2200 | 2008-08-13 |
| 1306017421 | Audrey Denise Briscoe | Pediatrics | 9449 East Imperial Hwy, Department of Pediatrics Suite 332, Downey, CA 90242 | 2008-03-17 |
| 1255452025 | Nadia Shaheen Sattar | Pediatrics | 39650 Liberty St Ste 140, Fremont, CA 94538-2225 | 2007-04-02 |
| 1255471975 | Huong Quynh Nguyen | Pediatrics | 7055 N Chestnut Ave, Suite 103, Fresno, CA 93720-0350 | 2007-02-08 |
| 1124041710 | Ramin R Mogadas | Pediatrics | 9985 Sierra Ave Fl Mob, Fontana, CA 92335-6720 | 2006-07-25 |
| 1164442620 | Mario I. Brakin, M.d.,f.a.a.p., Inc | Pediatrics | 2650 Elm Ave Ste 210, Long Beach, CA 90806-1600 | 2006-07-20 |
| 1730138009 | Jordan Pinsker | Pediatrics | 2219 Bath Street, William Sansum Diabetes Center, Santa Barbara, CA 93105 | 2006-05-06 |
| 1093795684 | Ajanta Naidu | Pediatrics | Uci Medical Center, 101 The City Drive, Pavillion 1, Orange, CA 92868 | 2006-01-19 |
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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.