MRS. RENEE PATRICIA GOODEN-CLARKE (NPI# 1447814397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447814397 |
| Entity Type | Individual |
| Full Name | MRS. RENEE PATRICIA GOODEN-CLARKE |
| Credential | NP |
| Practice Address |
370 Distel Cir Los Altos CA 94022-1404 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 6502545200 |
| Mailing Telephone | 6502545200 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011515 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Industrial Rd, San Carlos, CA 940702603 | 6505964240 |
| Street Address |
370 DISTEL CIR |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94022-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124019203 | Ruth Antionette Jenkins | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2005-10-28 |
| 1356825921 | Anna Sheng | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2018-09-19 |
| 1558880351 | Jonathan Robert Fero | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2017-09-12 |
| 1144672528 | Stephanie Wynne | Registered Nurse | 370 Distel Cir, Los Altos, CA 94022-1404 | 2016-07-08 |
| 1508217274 | Eric Seiji Matsumoto | Family Medicine | 370 Distel Cir, Los Altos, CA 94022 | 2016-06-23 |
| 1962865006 | Ashley Anne Taggart | Obstetrics & Gynecology | 370 Distel Cir, Los Altos, CA 94022-1404 | 2016-04-05 |
| 1548635840 | Doris Hong | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2015-12-11 |
| 1104223296 | Melanie T Perera | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2014-12-04 |
| 1568877041 | Hannah Iwan | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2014-06-24 |
| 1255745311 | Jennifer Tran | Family Medicine | 370 Distel Cir, Los Altos, CA 94022-1404 | 2014-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992290779 | Christine Hur | Optometrist | 4906 El Camino Real Ste B, Los Altos, CA 94022 | 2018-06-25 |
| 1386181709 | Xin Xia | Acupuncturist | 900 N San Antonio Rd Ste 103, Los Altos, CA 94022 | 2017-01-23 |
| 1083089494 | Catherine Constance Athens | Psychologist | 303 First St, Los Alto, CA 94022 | 2015-12-10 |
| 1952787475 | Tanya M. Gulevich | Marriage & Family Therapist | 146 Main St #215, Los Altos, CA 94022 | 2015-08-06 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1689096323 | Christine Stephanos | Pharmacist | 255 Second Street, Los Altos, CA 94022 | 2014-01-15 |
| 1316289044 | Isaac Ho | Student in an Organized Health Care Education/Training Program | 12696 La Cresta Drive, Los Altos Hills, CA 94022 | 2013-03-20 |
| 1144570698 | Julie Chayt Scott | Nutritionist | 395 Main Street, Los Altos, CA 94022 | 2012-09-12 |
| 1730454455 | Vincent Peter Zarcone Jr. | Psychiatry & Neurology | 227 Verano Dr, Los Altos, CA 94022 | 2012-03-13 |
| 1841561545 | Charles John Martell | Preventive Medicine | 19 Bay Tree Lane, Los Altos, CA 94022 | 2012-01-26 |
| Find all providers in zip 94022 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880351 | Jonathan Robert Fero | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2017-09-12 |
| 1568877041 | Hannah Iwan | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022-1404 | 2014-06-24 |
| 1780922336 | Hae Jin Lim | Nurse Practitioner | 370 Distel Cir, Los Altos, CA 94022 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
| 1801497706 | Ana Maria Cajigas De Jesus | Nurse Practitioner | 313 S Velva Pl, Anaheim, CA 92804-2647 | 2020-11-06 |
| 1609477421 | Taylor Mcknight | Nurse Practitioner | 5073 Oxford Dr, Cypress, CA 90630-3653 | 2020-11-06 |
| 1619578465 | Roslyn Dykes-barrow | Nurse Practitioner | 17631 Mulberry Dr, Carson, CA 90746-7403 | 2020-11-06 |
| 1861093601 | Philana P Mcdonald | Nurse Practitioner | 183 Stonebridge Ln, Paso Robles, CA 93446-1926 | 2020-11-06 |
| 1386245264 | Annie Parikh | Nurse Practitioner | 11675 Lambert Ave, El Monte, CA 91732-1955 | 2020-11-05 |
| 1073114096 | Blanca De Jesus Serrano | Nurse Practitioner | 18144 Outer Hwy 18 Ste 200, Apple Valley, CA 92307-2212 | 2020-11-05 |
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1043810757 | Casie Lee Mcguire | Nurse Practitioner | 1826 Rainbow Terrace Ln, Montebello, CA 90640-1953 | 2020-10-30 |
| 1295335099 | Jail Lopez | Nurse Practitioner | 3171 Lynwood Rd, Lynwood, CA 90262-4118 | 2020-10-29 |
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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.