MRS. CHERIE CHRISTINE-VIVONA CLARK (NPI# 1780992560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780992560 |
| Entity Type | Individual |
| Full Name | MRS. CHERIE CHRISTINE-VIVONA CLARK |
| Other Name | MISS CHERIE CHRISTINE VIVONA |
| Credential | PA-C |
| Practice Address |
Eden Emergency Department 20103 Lake Chabot Road Castro Valley CA 94546 |
| Practice Telephone | 5107273320 |
| Practice Fax Number | 5107272745 |
| Mailing Telephone | 5107273320 |
| Mailing Fax Number | 5107272745 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 21127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538625389 | Cherie Lynn Clark | Nurse Practitioner | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2019-02-18 |
| 1053645614 | Cherie L Clark | Social Worker | 1020 Saint Andrew St, New Orleans, LA 70130-5022 | 2009-09-29 |
| 1376766170 | Cherie Clark | Counselor | 9111 Haverstick Rd, Indianapolis, IN 46240-1353 | 2007-04-10 |
| Street Address |
EDEN EMERGENCY DEPARTMENT 20103 LAKE CHABOT ROAD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| 1902009467 | James Clarence Heinrich | Obstetrics & Gynecology | 21325 Hobert St, Castro Valley, CA 94546 | 2007-06-11 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093253924 | Elizabeth Josephine Phillips | Physician Assistant | 20206 Glenwood Dr, Castro Valley, CA 94552-5229 | 2017-02-11 |
| 1891878740 | Melissa Goralka | Physician Assistant | 20130 Lake Chabot Blvd, Ste 201, Castro Valley, CA 94546 | 2006-10-23 |
| 1194767111 | Victoria A Rivera | Physician Assistant | 20130 Lake Chabot Rd Ste 202, Castro Valley, CA 94546-5340 | 2006-06-12 |
| 1366795395 | Tara Marie Jordan | Physician Assistant | 20055 Lake Chabot Rd, Suite 130, Castro Valley, CA 94546-5331 | 2012-10-15 |
| 1801119995 | Shalini Jeyakumar | Physician Assistant | 20400 Lake Chabot Rd, Ste 304, Castro Valley, CA 94546-5316 | 2010-03-04 |
| 1164645636 | David Christian King | Physician Assistant | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2007-04-11 |
| 1336279785 | Sarah H Lindahl | Physician Assistant | 19845 Lake Chabot Rd, Suite #302, Castro Valley, CA 94546-4055 | 2007-03-06 |
| 1851439145 | Patti Lacey Hee | Physician Assistant | 20130 Lake Chabot Rd, Suite #202, Castro Valley, CA 94546-5340 | 2007-02-01 |
| 1588735849 | Isaac A Ibrahimi | Physician Assistant | 19850 Lake Chabot Rd, Castro Valley, CA 94546-4002 | 2006-11-10 |
| 1952392177 | Barry John Clements | Physician Assistant | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5341 | 2005-11-04 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on MRS. CHERIE CHRISTINE-VIVONA 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.