STEPHANIE CLARK (NPI# 1427413590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427413590 |
| Entity Type | Individual |
| Full Name | STEPHANIE CLARK |
| Credential | PA-C |
| Practice Address |
1125 E 17th St Ste W248 Santa Ana CA 92701 |
| Mailing Address |
1125 E 17th St Ste W248 Santa Ana CA 92701-2205 |
| Practice Telephone | 7145475151 |
| Mailing Telephone | 7145475151 |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52997 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 369 San Miguel Dr, Suite 200, Newport Beach, CA 926607818 | 9494399288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1811516156 | Stephanie Clark | Social Worker | 10185 Isle St, Parker, CO 80134-5788 | 2020-04-15 |
| 1306486444 | Stephanie Clark | Licensed Practical Nurse | 636 Clay Ave Uppr, Rochester, NY 14613-1030 | 2020-01-07 |
| 1841681046 | Stephanie Clark | Technician, Other | 2917 S Ash Ct, Broken Arrow, OK 74012-7804 | 2015-02-09 |
| 1760816326 | Stephanie Diane Clark | Case Manager/Care Coordinator | 4613 Se 41st St, Del City, OK 73115-3703 | 2013-08-30 |
| 1538447560 | Stephanie Renae Clark | Physical Therapist | 927 Battlefield Blvd N, Suite 200, Chesapeake, VA 23320-4853 | 2011-07-25 |
| 1932330545 | Stephanie D Clark | Social Worker | 16581 Us Highway 17 N Ste 600, Hampstead, NC 28443-7451 | 2009-07-30 |
| 1487719787 | Stephanie Clark | Licensed Practical Nurse | 55 Ramble Hill Lane, Millbrook, NY 12545 | 2006-12-27 |
| 1811057425 | Stephanie Clark | Dentist | 7601 A Germantown Ave, Philadelphia, PA 19119 | 2006-12-12 |
| 1700864733 | Stephanie Elaine Clark | Audiologist | 13934 N 59th Ave, Ste 120, Glendale, AZ 85306-4167 | 2006-01-09 |
| Street Address |
1125 E 17TH ST STE W248 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386819241 | Trevor T. Muirhead | Dermatology | 1125 E 17th St Ste W248, Santa Ana, CA 92701-2205 | 2008-04-22 |
| 1457770273 | Albert Antonyan | Dermatology | 1125 E 17th St Ste W248, Santa Ana, CA 92701 | 2014-04-09 |
| 1801175039 | Golnaz Parsa | Physician Assistant | 1125 E 17th St Ste W248, Santa Ana, CA 92701-2205 | 2011-08-05 |
| 1942448303 | Sarah Elizabeth Frazier | Physician Assistant | 1125 E 17th St Ste W248, Santa Ana, CA 92701-2205 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841807401 | Midori K Dirig | Psychologist | 405 W. 3rd Street, Santa Ana, CA 92701 | 2020-09-28 |
| 1952915456 | Alexandria Bekele | Counselor | Address: 405 W. 5th Street, Santa Ana, CA 92701 | 2020-09-02 |
| 1508479239 | Candice Bjorkman | Counselor | 1201 E Fruit St, Santa Ana, CA 92701 | 2020-08-24 |
| 1013527365 | Maryiam Elizabeth Barkho | Dentist | 809 South Main Street Suite B, Santa Ana, CA 92701 | 2020-08-02 |
| 1447803788 | Emmett Eugene Cook II | Counselor | 1207 E Fruit Street, Santa Ana, CA 92701 | 2019-07-16 |
| 1619538741 | Emily H Sanders | Marriage & Family Therapist | 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 | 2019-06-28 |
| 1184191769 | Peace of Mind Wellness & Family Counseling, Inc. | Counselor | 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 | 2018-10-31 |
| 1841765815 | Kelly Marie Contreras | Clinical Medical Laboratory | 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 | 2018-10-05 |
| 1780176537 | Diane Carol Navarro-prescott | Counselor | 1633 East 4th Street, Santa Ana, CA 92701 | 2018-06-06 |
| 1750873758 | Eileen Fernandez | Counselor | 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 | 2018-06-05 |
| Find all providers in zip 92701 | ||||
| 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 |
|---|---|---|---|---|
| 1316581333 | Mckenzie Mcmahon | Physician Assistant | 1504 Brookhollow Dr Ste 119, Santa Ana, CA 92705-5418 | 2019-11-01 |
| 1386155208 | Yvonne Lam | Physician Assistant | 201 S. Broadway Ave, #208, Santa Ana, CA 92704-9270 | 2017-10-18 |
| 1255859948 | Jimmy Duc Bui | Physician Assistant | 2305 Strawberry Ln, Santa Ana, CA 92706-2240 | 2017-09-01 |
| 1518496256 | Sina Popal | Physician Assistant | 3210 S Shannon St, Santa Ana, CA 92704-6353 | 2017-06-07 |
| 1174058978 | Caroline Jo Dimatteo | Physician Assistant | 901 W Civic Center Clinic, Ste 120, Santa Ana, CA 92703 | 2017-04-29 |
| 1023467370 | Ivonne Landeros | Physician Assistant | 2010 Elite Pain Management, Suite 100, Santa Ana, CA 92705-6562 | 2016-06-08 |
| 1134544125 | Roberto Antonio Marin | Physician Assistant | 4402 W Camille St, Santa Ana, CA 92704-0614 | 2014-02-27 |
| 1891046330 | Vy-van Tran | Physician Assistant | 1212 S Bristol St Ste 16, Santa Ana, CA 92704-3439 | 2012-09-24 |
| 1316296932 | Van Laurie Nguyen | Physician Assistant | 1421 W Macarthur Blvd Ste E, Santa Ana, CA 92704-7318 | 2012-08-29 |
| 1871851519 | Jose Ruiz-ortega | Physician Assistant | 1430 W 1st St, Santa Ana, CA 92703-3724 | 2012-05-01 |
| Find all providers in SANTA ANA | ||||
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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.