ROBERTA CLARK (NPI# 1801285580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801285580 |
| Entity Type | Individual |
| Full Name | ROBERTA CLARK |
| Credential | RDHAP, MS |
| Practice Address |
8403 Christopher Ridge Ter San Diego CA 92127-6143 |
| Practice Telephone | 8583678320 |
| Mailing Telephone | 8583678320 |
| Enumeration Date | 2015-01-17 |
| Last Update Date | 2015-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | RDHAP 522 | CA | Dental Providers |
| N | 124Q00000X | Dental Hygienist | RDH 15432 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720240831 | Roberta Clark | Physical Therapy Assistant | 233 Florida Ave, Carolina Beach, NC 28428-5804 | 2008-06-30 |
| 1144746702 | Roberta Clark | Social Worker | 1100 N Pine St, Clearwater, FL 33756-4104 | 2017-08-16 |
| 1609017987 | Roberta Catherine Clark | Social Worker | 1270 Doris Rd, Auburn Hills, MI 48326-2617 | 2009-03-16 |
| 1184827891 | Roberta Anne Clark | Nurse Practitioner | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2007-06-08 |
| Street Address |
8403 CHRISTOPHER RIDGE TER |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1063011120 | Pamela Ann Reid-williams | Dental Hygienist | 4155 Spillman Dr, San Diego, CA 92105-5207 | 2020-10-20 |
| 1053928986 | Xueyan Yang | Dental Hygienist | 13593 Cantare Trl, San Diego, CA 92130-1305 | 2020-09-24 |
| 1245852110 | Amber D Riley | Dental Hygienist | 2929 Cowley Way Unit G, San Diego, CA 92117-6824 | 2020-05-13 |
| 1013542976 | Sarah Lisabeth St John | Dental Hygienist | 17107 Montura Dr, San Diego, CA 92128-2127 | 2020-03-10 |
| 1053872275 | Erika Hernandez | Dental Hygienist | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 |
| 1952876138 | Kathleen Batenga | Dental Hygienist | 6253 Avenida De Las Vistas Unit 1, San Diego, CA 92154-6619 | 2018-10-03 |
| 1043791403 | Maricruz Barba | Dental Hygienist | 7734 Backer Rd, San Diego, CA 92126-3568 | 2018-08-23 |
| 1053810598 | Tamara Lindley | Dental Hygienist | 18528 Caminito Pasadero, San Diego, CA 92128-1062 | 2018-02-11 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| Find all providers in SAN DIEGO | ||||
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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.