LINDA CLARK (NPI# 1952491797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952491797 |
| Entity Type | Individual |
| Full Name | LINDA CLARK |
| Credential | NP |
| Practice Address |
41715 Winchester Rd Suite 101 Temecula CA 92590-4808 |
| Practice Telephone | 9516764193 |
| Practice Fax Number | 9517191469 |
| Mailing Telephone | 9516764193 |
| Mailing Fax Number | 9517191469 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP16640 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568703742 | Linda Gaye Clark | Social Worker | 148 S Dowlen Rd, # 638, Beaumont, TX 77707-1755 | 2013-03-12 |
| 1730403783 | Linda Sue Clark | Pharmacist | 201 Crossings Mall, Elkview, WV 25071 | 2010-03-19 |
| 1245552009 | Linda R Clark | Nutritionist | 5150 Sunrise Blvd., Ste. H-4, Fair Oaks, CA 95628 | 2010-02-22 |
| 1114167616 | Linda M Clark | Psychologist | 78 Reno Rd, Buffalo, WY 82834-2019 | 2009-02-24 |
| 1679610927 | Linda Patricia Clark | Massage Therapist | 14610 229th Ave E, Orting, WA 98360-9669 | 2007-01-30 |
| 1013061803 | Linda Jean Clark | Optometrist | 1765 Stafford Court, Goshen, IN 46526-6542 | 2007-01-22 |
| 1801806583 | Linda J. Clark | Social Worker | 238 N 2nd St, Ste.1, Richmond, KY 40475-1484 | 2006-08-08 |
| 1376507772 | Linda Clark | Internal Medicine | 13 Saint Albans Cir, Suite C, Newtown Square, PA 19073-3622 | 2006-04-13 |
| 1144723016 | Linda Catherine Clark | Counselor | 1485 Saratoga Ave Ste 200, San Jose, CA 95129-4965 | 2018-03-16 |
| 1851848261 | Linda Clark | Specialist/Technologist | 1201 Galloway St, Steilacoom, WA 98388-3909 | 2016-09-01 |
| Street Address |
41715 WINCHESTER RD SUITE 101 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-4808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184672545 | Brian Robert Sharp | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2006-05-05 |
| 1598395709 | Dustin Grossheim | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2020-01-16 |
| 1609300250 | Nikole Churchill | Nurse Practitioner | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2017-04-19 |
| 1093267171 | Aliuddin Khaja, Md., Inc | Psychologist | 41715 Winchester Rd, Suite 104, Temecula, CA 92590-4808 | 2016-10-25 |
| 1326599192 | Mariah Brooke Horvath | Physician Assistant | 41715 Winchester Rd, Suite #101, Temecula, CA 92590-4808 | 2016-10-17 |
| 1922471192 | Krista Russo | Physician Assistant | 41715 Winchester Rd, 101, Temecula, CA 92590-4808 | 2015-11-09 |
| 1629447602 | Lindsey Adele Mcatee | Physician Assistant | 41715 Winchester Rd, Temecula, CA 92590-4808 | 2015-09-19 |
| 1558743906 | Michelle Marie Robert | Nurse Practitioner | 41715 Winchester Rd, Ste 101, Temecula, CA 92590-4808 | 2015-06-22 |
| 1962828863 | Amanda Alviz | Nurse Practitioner | 41715 Winchester Rd, Suite 101, Temecula, CA 92590 | 2014-03-15 |
| 1477897684 | Douglas Ebin Wong | Physician Assistant | 41715 Winchester Rd, Suite 101, Temecula, CA 92590-4808 | 2012-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747082 | Eligio David Panganiban Soliman Jr. | Nurse Practitioner | 31515 Rancho Pueblo Rd Ste 205, Temecula, CA 92592-4837 | 2020-07-08 |
| 1669012571 | Shana Marie Henderson | Nurse Practitioner | 39301 Shree Rd, Temecula, CA 92591-7284 | 2020-01-08 |
| 1750943171 | Bridget Eileen Johnson | Nurse Practitioner | 46421 Canyon Crest Ct, Temecula, CA 92592-4219 | 2019-07-05 |
| 1386202877 | Victoria Rose Gulotta | Nurse Practitioner | 31162 Strawberry Tree Ln, Temecula, CA 92592-4182 | 2019-05-30 |
| 1790242303 | Dorie Michelle Love-ashby | Nurse Practitioner | 29811 Del Rey Rd, Temecula, CA 92591-1810 | 2019-03-01 |
| 1083198147 | Amanda Sawires Yager | Nurse Practitioner | 28360 Old Town Front St, #544, Temecula, CA 92593-7023 | 2018-09-24 |
| 1497258669 | Ngozi Chidiuto Christopher | Nurse Practitioner | 31493 Rancho Pueblo Rd Ste 107, Temecula, CA 92592-4833 | 2018-03-14 |
| 1306353172 | Rhona Mae Sitjar | Nurse Practitioner | 33205 Us Highway 79, Temecula, CA 92592-9142 | 2018-01-03 |
| 1861941403 | Corranda Kosciolek | Nurse Practitioner | 26531 Ynez Rd, Temecula, CA 92591-4630 | 2016-09-23 |
| 1972059921 | Salvatore Ausonio | Nurse Practitioner | 32487 Bergamo Ct, Temecula, CA 92592-3886 | 2016-08-30 |
| Find all providers in TEMECULA | ||||
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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.