JESSE LAWTON CLARK (NPI# 1811166572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811166572 |
| Entity Type | Individual |
| Full Name | JESSE LAWTON CLARK |
| Credential | M.D. |
| Practice Address |
5767 W Century Blvd Suite 200 Los Angeles CA 90045-5632 |
| Mailing Address |
200 Medical Plaza Suite 365 Los Angeles CA 90024-0000 |
| Practice Telephone | 3103018708 |
| Mailing Telephone | 3103018708 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A95103 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A95103 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A951030 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| 1699323931 | Jesse Clark | Occupational Therapy Assistant | 3485 Windsor Ave, Dubuque, IA 52001-1329 | 2019-08-29 |
| 1043721129 | Jesse Kay Clark | Physician Assistant | 800 5th Ave Ste 300, Fort Worth, TX 76104-7303 | 2017-10-17 |
| 1154642585 | Jesse N Clark | Family Medicine | 10122 E. 10th Street, Suite 100, Indianapolis, IN 46229-2697 | 2010-06-21 |
| 1376729756 | Jesse D Clark | Dentist | 1611 Greenfield St, Wilmington, NC 28401-6455 | 2008-01-15 |
| Street Address |
5767 W CENTURY BLVD SUITE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536462 | Michael B Gorin | Ophthalmology | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2006-02-10 |
| 1114372356 | Jules Stein Institute Medical Group | Durable Medical Equipment & Medical Supplies | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2016-04-25 |
| 1487013579 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2016-02-17 |
| 1487062790 | Alicia Trocker | Dietitian, Registered | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2014-07-30 |
| 1215377320 | Regents of The University of California | Internal Medicine | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2013-07-03 |
| 1508121674 | Jason Nikzad | Family Medicine | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2012-07-05 |
| 1679808117 | Thomas Joseph Early | Family Medicine | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2009-10-15 |
| 1033360771 | Satiro Nakamura De Oliveira | Pediatrics | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2008-09-30 |
| 1487815882 | Sarah Nena Mourra | Psychiatry & Neurology | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2008-06-19 |
| 1740315324 | Luwam Gebremusie Semere | Specialist | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053739961 | Ashlyn Sakona | Internal Medicine | 200 Ucla Medical Plz Ste 365-c, Los Angeles, CA 90095-2536 | 2014-03-29 |
| 1427309285 | Nour Khouzam | Internal Medicine | 1331 S Saltair Ave Apt 1, Los Angeles, CA 90025-1369 | 2012-09-19 |
| 1649421553 | Lois Ramer | Internal Medicine | 1300 N Mission Rd, Rand Schrader Clinic, Los Angeles, CA 90033-1021 | 2008-10-09 |
| 1992900815 | David Changjeen Rhew | Internal Medicine | 5764 San Vicente Blvd, Suite 404, Los Angeles, CA 90019-7010 | 2007-06-20 |
| 1720281439 | Maxine Elois Liggins | Internal Medicine | 1522 E 102nd St, Room 142, Los Angeles, CA 90002-3338 | 2007-06-08 |
| 1952421075 | Sheree Rene Poitier | Internal Medicine | 241 N Figueroa St Ste 306e, Los Angeles, CA 90012-2601 | 2007-03-30 |
| 1336210459 | Patricia C Samuels | Internal Medicine | 6230 Wilshire Blvd, Ste 184, Los Angeles, CA 90048-5104 | 2006-11-11 |
| 1124198312 | Masoud Rahban | Internal Medicine | 5901 W Olympic Blvd Ste 307, Los Angeles, CA 90036-4664 | 2006-11-08 |
| 1841381217 | Phyllis A. Guze | Internal Medicine | 11301 Willshire Blvd, Bldg 500; Rm 3210, Los Angeles, CA 90073 | 2006-09-28 |
| 1861594897 | Dennis Ray Schaberg | Internal Medicine | 11301 Wilshire Blvd(111), Los Angeles, CA 90073-1003 | 2006-09-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.