RODNEY DUANE CLARK (NPI# 1790716041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790716041 |
| Entity Type | Individual |
| Full Name | RODNEY DUANE CLARK |
| Credential | MD |
| Practice Address |
2425 Samaritan Dr San Jose CA 95124-3908 |
| Mailing Address |
Po Box 51451 Los Angeles CA 90051-5751 |
| Practice Telephone | 4085582100 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | G71735 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G717350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443953 | Rodney James Clark | Nurse Practitioner | 26 S 1st Ave Ste 100, Marshalltown, IA 50158-5032 | 2018-07-09 |
| 1285854919 | Rodney Keith Clark | Dentist | 1918 Forsyth Street, Macon, GA 31201 | 2007-04-26 |
| 1932756970 | Rodney Aaron Clark | Counselor | 6860 Brockton Ave Ste 9, Riverside, CA 92506-3816 | 2019-08-23 |
| 1487102851 | Rodney Dale Clark | Counselor | 9015 Murray Ave, Suite 100, Gilroy, CA 95020-3617 | 2016-09-14 |
| 1649590886 | Rodney Lee Clark Jr. | Internal Medicine | 4800 E Johnson Ave, Jonesboro, AR 72401 | 2010-06-10 |
| Street Address |
2425 SAMARITAN DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356319347 | Brita Hellman | Physical Therapist | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2006-03-08 |
| 1194326835 | Elika F Leitch | Respiratory Therapist, Registered | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2020-11-07 |
| 1346847548 | Ravi K Aggusher Md Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2020-10-01 |
| 1437700200 | Nicole Leann Dominguez | Social Worker | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2019-09-24 |
| 1003396474 | Harramanjoyt Hans-brar | Dietitian, Registered | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-08-15 |
| 1760972491 | Jillian Alexandra Wesselman | Registered Nurse | 2425 Samaritan Dr, San Jose, CA 95124 | 2018-05-17 |
| 1720580160 | Dana Janine Schroeder | Nurse Practitioner | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2018-03-01 |
| 1689192833 | Cep America - Anesthesia PC | Anesthesiology | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-09-07 |
| 1336678143 | California Emergency Physicians Medical Group, A Professional Corp | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2017-06-06 |
| 1306398482 | Rekha Dharmaji Md Inc | Internal Medicine | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932335783 | Alan Poon | Anesthesiology | 25 N 14th St Ste 650, San Jose, CA 95112-6213 | 2009-06-08 |
| 1801049820 | Jacob Ryan Pletcher | Anesthesiology | 225 N Jackson Ave Rm 514, San Jose, CA 95116-1603 | 2008-11-04 |
| 1023288131 | Forest Anesthesia Medical Group Inc | Anesthesiology | 2110 Forest Ave Ste 2, San Jose, CA 95128-1469 | 2008-03-04 |
| 1134309495 | David Minho Rhee | Anesthesiology | 2081 Forest Ave Ste 4, San Jose, CA 95128-4841 | 2007-11-05 |
| 1255523007 | Amos S Yang | Anesthesiology | 1463 Rosecrest Ter, San Jose, CA 95126-2154 | 2007-08-15 |
| 1427184233 | Paul Reynolds | Anesthesiology | 4820 Harwood Rd, Suite 100, San Jose, CA 95124-5200 | 2007-02-26 |
| 1295897700 | Joseph Robert Klein | Anesthesiology | 275 Hospital Parkway, Suite 470, San Jose, CA 95119 | 2006-12-14 |
| 1851321269 | Florence Lin | Anesthesiology | 2110 Forest Ave. 2nd Floor, San Jose, CA 95128 | 2006-07-03 |
| 1679525349 | Lucas Go Tan | Anesthesiology | 989 Story Rd, Unit 8063, San Jose, CA 95122-4620 | 2006-05-17 |
| 1023079118 | Mamta Thukral | Anesthesiology | Santa Teresa Medical Center, 250 Hospital Parkway, San Jose, CA 95119 | 2006-03-29 |
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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.