MS. LARA M CLARK (NPI# 1063852887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063852887 |
| Entity Type | Individual |
| Full Name | MS. LARA M CLARK |
| Credential | PA-C |
| Practice Address |
605 E Badillo St Covina CA 91723-2846 |
| Practice Telephone | 6267329608 |
| Mailing Telephone | 6267329608 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16351 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133395 | Lara Clark | Counselor | 600 6th St Nw Ste 9, Great Falls, MT 59404-2449 | 2020-01-24 |
| 1992767545 | Lara Margaret Clark | Dentist | 2617 S Horner Blvd, Sanford, NC 27332-8032 | 2006-04-06 |
| 1447684832 | Lara Clark | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2013-08-21 |
| Street Address |
605 E BADILLO ST |
| City | COVINA |
| State | CA |
| Zip Code | 91723-2846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478228 | Ivan L Breed Md Inc | Family Medicine | 605 E Badillo St, Suite 110, Covina, CA 91723-2846 | 2005-06-28 |
| 1073905105 | Jose Gabriel Castellanos, Md, Inc. | Clinic/Center | 605 E Badillo St, Suite 110, Covina, CA 91723-2846 | 2015-02-26 |
| 1033314208 | Remedios Lucero Almirante | Internal Medicine | 605 E Badillo St, Suite 300, Covina, CA 91723-2846 | 2007-06-18 |
| 1073539474 | Ivan L Breed | Family Medicine | 605 E Badillo St, Suite 110, Covina, CA 91723-2846 | 2006-07-15 |
| 1124027529 | West Covina Plan Ipa Inc., A Medical Group | Clinic/Center | 605 E Badillo St, Suite 100, Covina, CA 91723-2846 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461781 | Shannon Chu | Physician Assistant | 1433 N Hollenbeck Ave Ste 101, Covina, CA 91722-1558 | 2019-01-25 |
| 1497249775 | Daphney Joseph | Physician Assistant | 534 N Cabernet Dr, Covina, CA 91723-1563 | 2018-06-19 |
| 1982008728 | Jesse Garcia Zablan | Physician Assistant | 420 W. Rowland Street, Covina, CA 91723-2943 | 2014-10-21 |
| 1023369956 | Amber Allysen Gally | Physician Assistant | 16827 E Bygrove St, Covina, CA 91722-1108 | 2012-10-02 |
| 1467604314 | Kristen E. Batorfalvy | Physician Assistant | 315 N 3rd Ave Ste 302, Covina, CA 91723-1916 | 2008-10-22 |
| 1083730113 | Badillo Emergency Physicians, A Medical Corporation | Physician Assistant | 210 W Bernardino Road, Covina, CA 91723 | 2007-03-21 |
| 1881755411 | Helen Louise Taylor | Physician Assistant | 1433 N. Hollenbeck Avenue, Suite 200, Covina, CA 91722 | 2006-12-13 |
| 1922198399 | Beatriz Hammond | Physician Assistant | 20181 E Lorencita Dr, Covina, CA 91724-3832 | 2006-10-13 |
| 1205815891 | Zarin G. Khan | Physician Assistant | 420 W Rowland St, Covina, CA 91723-2943 | 2006-01-11 |
| 1649813239 | Yeonsoo Julie Lee | Physician Assistant | 234 E Badillo St, Covina, CA 91723-2115 | 2019-10-25 |
| Find all providers in COVINA | ||||
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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.