Catherine Louise Clark (NPI# 1013105501, PAC ID# 3274622121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013105501 |
| PAC ID by PECOS | 3274622121 |
| Professional Enrollment ID | I20110725000484 |
| Full Name | Catherine Louise Clark |
| Organization Legal Name | SENIOR MEDICAL ASSOCIATES, INC. |
| Address |
2810 Camino Del Rio S Suite 102 San Diego CA 92108-3819 |
| Phone Number | 6192991419 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446339469 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050115 | PALOMAR HEALTH DOWNTOWN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 | 6192991419 | SENIOR MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | SENIOR MEDICAL ASSOCIATES, INC. |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Rose | Psychiatry | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Mamta D Modhwadia | Psychiatry | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Blaise M Riedlinger | Psychologist, Clinical | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Hossein Samadi | Psychiatry | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Deomel M Soriano | Nurse Practitioner | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Nittly S Chahal | Internal Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Teja Singh Jr. | Internal Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Melissa B Vourlitis | Family Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Christopher Thomas Simonet | Psychologist, Clinical | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Richard T Nguyen | Geriatric Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Street Address |
2810 CAMINO DEL RIO S SUITE 102 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92108-3819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Rose | Psychiatry | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Mamta D Modhwadia | Psychiatry | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Blaise M Riedlinger | Psychologist, Clinical | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Hossein Samadi | Psychiatry | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Deomel M Soriano | Nurse Practitioner | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Nittly S Chahal | Internal Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Teja Singh Jr. | Internal Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Melissa B Vourlitis | Family Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Christopher Thomas Simonet | Psychologist, Clinical | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Richard T Nguyen | Geriatric Medicine | Senior Medical Associates, Inc. | 2810 Camino Del Rio S, Suite 102, San Diego, CA 92108-3819 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Mccarter | Psychologist, Clinical | Psychiatric Centers At San Diego, Inc. Med Grp | 5353 Mission Ctr Rd, Suite 224, San Diego, CA 92108-1304 |
| Lauren Fernberg | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Robert Brasley | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Nicole Murphy | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Shawn Laird | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Grant Meyer | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Pouya Afshar | Hospitalist | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 | |
| Anand N Patel | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Neal Allan Dunitz | Internal Medicine | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Manuel Moreno | Nurse Practitioner | Integrated Healthcare Alliance Inc | 7801 Mission Ctr Ct, Suite 310, San Diego, CA 92108-1316 |
| Find all physicians in zip 92108 | |||
| City | SAN DIEGO |
| Zip Code | 92108 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAN DIEGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Catherine Louise Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.