Kina A Johnson Clark (NPI# 1326061813, PAC ID# 8729139837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1326061813 |
| PAC ID by PECOS | 8729139837 |
| Professional Enrollment ID | I20090701000429 |
| Full Name | Kina A Johnson Clark |
| Address |
1380 Lead Hill Blvd Suite 110 Roseville CA 95661-2997 |
| Phone Number | 9167264030 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1380 Lead Hill Blvd, Suite 110, Roseville, CA 95661-2997 | 9167264030 |
| Street Address |
1380 LEAD HILL BLVD SUITE 110 |
| City | ROSEVILLE |
| State | CA |
| Zip | 95661-2997 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reinhardt G Hilzinger | Family Medicine | 4 Medical Plaza Dr, Roseville, CA 95661-2815 | |
| Jasbir S Rangi | Gastroenterology | Capitol Gastroenterology Consultants Medical Group Inc | 4 Medical Plaza Dr, Suite 205, Roseville, CA 95661-2815 |
| Lorerky M Ramirez-moya | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 1420 Rocky Ridge Dr, Roseville, CA 95661-2835 |
| Parul W Singh | Family Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Khushwinder S Garcha | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Ila Suplizio | Physical Therapy | Brett Pinkney Mpt and Associates Inc. | 588 N Sunrise Ave, Suite 100, Roseville, CA 95661-2843 |
| Earnest G Manjooran | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Jakkidi S Reddy | Internal Medicine | 588 N Sunrise Ave, Suite 120, Roseville, CA 95661-2843 | |
| Granger B Wong | Plastic and Reconstructive Surgery | 576 N Sunrise Ave, 120 Centre for Plastic Surgery, Roseville, CA 95661-2846 | |
| Christine Nguyen | Optometry | 576 N Sunrise Ave, Suite 110, Roseville, CA 95661-2846 | |
| Find all physicians in zip 95661 | |||
| City | ROSEVILLE |
| Zip Code | 95661 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | ROSEVILLE + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Kina A Johnson 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.