JASON R. CLARK (NPI# 1881773539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881773539 |
| Entity Type | Individual |
| Full Name | JASON R. CLARK |
| Credential | MD |
| Practice Address |
1150 Veterans Blvd Redwood City CA 94063-2037 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 6502992000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A66681 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A666810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727425 | Jason Clark | Counselor | 2451 N Lincoln Ave Side 2, Chicago, IL 60614-4170 | 2020-07-21 |
| 1548695489 | Jason S. Clark | Veterinarian | 11800 Capital Way, Louisville, KY 40299-6332 | 2013-09-11 |
| 1346201431 | Jason Drew Clark | Dentist | 7810 Providence Rd, Suite 100, Charlotte, NC 28226-2987 | 2006-03-29 |
| 1306197348 | Jason Clark | Nurse Anesthetist, Certified Registered | 620 Skyline Drive, Jackson, TN 38301 | 2012-10-01 |
| 1568711513 | Jason E Clark | Case Management | 4615 Philips Highway, Jacksonville, FL 32207-7265 | 2012-09-06 |
| 1699024695 | Jason M Clark | Optometrist | 101 Conley Rd, Columbia, MO 65201-6465 | 2012-09-05 |
| 1457632705 | Jason Clark | Physical Therapy Assistant | 1001 Giesau Dr, Ontonagon, MI 49953-1454 | 2011-08-31 |
| 1184912883 | Jason Clark | Pharmacist | 3021 Reidville Rd, Spartanburg, SC 29301-5643 | 2011-07-14 |
| 1508150301 | Jason Clark | Occupational Therapist | 140 Technology Ln, Johnson City, TN 37604-2004 | 2011-06-09 |
| 1902101959 | Jason Andrew Clark | Nurse Anesthetist, Certified Registered | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2011-01-24 |
| Street Address |
1150 VETERANS BLVD |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-2037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497753909 | Anil Assudani | Psychiatry & Neurology | 1150 Veterans Blvd, Kaiser-redwood City, Dept. of Inpt. Psychiatry, Redwood City, CA 94063-2037 | 2005-07-08 |
| 1104381235 | Cortina Lewis | Respiratory Therapist, Registered | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2019-02-03 |
| 1598290892 | Lelah Choy | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-24 |
| 1003349580 | Patricia Ko | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-11 |
| 1275066201 | Tiffany Bui | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-06 |
| 1841723723 | Wendi Yamanaka | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-06 |
| 1043743941 | Bryan Pham | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-06 |
| 1376076273 | Shobhna Gupta | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-04-06 |
| 1699206367 | Hailekiros Hailu | Pharmacist | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2017-03-24 |
| 1851743983 | Sylvia Lowe | Pharmacy Technician | 1150 Veterans Blvd, Redwood City, CA 94063-2037 | 2016-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1982733929 | Laila Ahmed Azzuz | Pediatrics | 348 Meridian Dr, Redwood City, CA 94065-2818 | 2007-03-05 |
| 1154450989 | Gina Lucy Rodriguez | Pediatrics | 77 Birch St Ste B, Redwood City, CA 94062-1400 | 2007-03-05 |
| 1699811299 | Sara Christine Rochotte Stabile | Pediatrics | 910 Marshall Street, Redwood City, CA 94063-2034 | 2007-01-30 |
| 1376621755 | Kid Kare Medical Associates Inc | Pediatrics | 595 Price Ave Suite E, Redwood City, CA 94063 | 2006-11-01 |
| 1235149436 | Laurie Ann Rubenstein | Pediatrics | 609 Price Ave, Suite 104, Redwood City, CA 94063 | 2006-08-09 |
| 1700896990 | Amita Saxena | Pediatrics | 801 Brewster Ave Ste 175, Redwood City, CA 94063-1559 | 2006-08-09 |
| 1073571261 | Laura Andeen Chiang | Pediatrics | 595 Price Ave, Suite E, Redwood City, CA 94063-1464 | 2006-05-04 |
| 1720040322 | Mirta C Delgado | Pediatrics | 630 Laurel St, Redwood City, CA 94063-2977 | 2006-04-06 |
| 1811381429 | Megan Annette Pesyna | Pediatrics | 801 Brewster Ave Ste 175, Redwood City, CA 94063-1559 | 2015-03-20 |
| 1245630342 | Bonnie Leboff | Pediatrics | 609 Price Ave, Suite 104, Redwood City, CA 94063-1463 | 2014-08-26 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
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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.