DR. JULIE D CLARK (NPI# 1346216389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346216389 |
| Entity Type | Individual |
| Full Name | DR. JULIE D CLARK |
| Credential | MD |
| Practice Address |
1550 Professional Dr Ste A Suite 100 Petaluma CA 94954-6655 |
| Practice Telephone | 7077632900 |
| Practice Fax Number | 7077632990 |
| Mailing Telephone | 7077632900 |
| Mailing Fax Number | 7077632990 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2013-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A98041 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 231988 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700355468 | Julie Clark | Social Worker | 3733 Spotted Jack Loop N, Billings, MT 59101-6974 | 2018-11-24 |
| 1104328442 | Julie Clark | Physical Therapist | 14929 Sandstone Pl, Grand Haven, MI 49417-7947 | 2018-03-02 |
| 1689918450 | Julie Kaye Clark | Lactation Consultant, Non-RN | 1301 Motter Avenue, Frederick, MD 21701 | 2012-11-19 |
| 1336447663 | Julie Clark | Speech-Language Pathologist | 6276 Plattsburg Rd, South Charleston, OH 45368-8801 | 2011-03-10 |
| 1649577800 | Julie R Clark | Speech-Language Pathologist | 118 N Pearl St, Frewsburg, NY 14738-9514 | 2011-02-23 |
| 1114159555 | Julie J Clark | Nurse Practitioner | 682 Hemlock St Ste 290, Macon, GA 31201-8312 | 2009-08-19 |
| 1073748349 | Julie W. Clark | Dietitian, Registered | 106 W Washington St., Jefferson, IA 50129-1920 | 2009-05-15 |
| 1245372929 | Julie Lynn Clark | Occupational Therapist | 2446 Forest Leaf Pkwy, Wildwood, MO 63011-1847 | 2007-02-12 |
| 1093737439 | Julie Clark | Physician Assistant | 307 North Broadway, Poteau, OK 74953-0689 | 2006-07-24 |
| 1649214131 | Julie Clark | Physician Assistant | 10255 Overland Rd, Boise, ID 83709-1430 | 2006-06-15 |
| Street Address |
1550 PROFESSIONAL DR STE A SUITE 100 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-6655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656631 | Anthony P. Kosinski | Obstetrics & Gynecology | 1550a Professional Drive, Suite 100, Petaluma, CA 94954 | 2005-08-16 |
| 1972902971 | Tamar Segev | Obstetrics & Gynecology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2014-08-15 |
| 1528211638 | Julie Clark, M.d., Inc | Obstetrics & Gynecology | 1550 Professional Dr, Petaluma, CA 94954-6655 | 2008-11-03 |
| 1487738555 | Laurie A. Dibble | Obstetrics & Gynecology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2006-10-25 |
| 1720162704 | Gamin Mary Thomason | Obstetrics & Gynecology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2006-10-25 |
| 1770667750 | Judith Mccarthy | Obstetrics & Gynecology | 3900 Lakeville Hwy, Petaluma, CA 94954-5698 | 2006-10-25 |
| 1255323945 | Fiona Redwood | Obstetrics & Gynecology | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JULIE D CLARK.
| 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.