VICTORIA LEE CLARK (NPI# 1457705915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457705915 |
| Entity Type | Individual |
| Full Name | VICTORIA LEE CLARK |
| Credential | RD |
| Practice Address |
Va San Diego Healthcare System 3350 La Jolla Village Dr San Diego CA 92161-0001 |
| Practice Telephone | 8585528585 |
| Mailing Telephone | 8585528585 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86046161 | CA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609399427 | Victoria Regina Clark | Physician Assistant | 113 Sutton Dr, Berkeley Heights, NJ 07922-2510 | 2017-07-24 |
| 1730567082 | Victoria Ann Clark | Counselor | 4300 Sw Sw 13th Street, Gainesville, FL 32608 | 2015-05-07 |
| 1487073052 | Victoria Clark | Counselor | 1319 Brown St, Martinez, CA 94553-1924 | 2014-04-10 |
| 1215588462 | Victoria Clark | Advanced Practice Midwife | 1600 Haddon Ave, Camden, NJ 08103-3101 | 2019-09-27 |
| 1972153757 | Victoria Ann Clark | Counselor | 1840 Bragaw St Ste 110, Anchorage, AK 99508-3463 | 2019-09-13 |
| 1205494275 | Victoria Clark | Occupational Therapist | 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360-3969 | 2019-06-04 |
| 1568924082 | Victoria Clark | Registered Nurse | 125 W Mission Ave, Escondido, CA 92025-1720 | 2019-04-03 |
| 1831614494 | Victoria Lea Clark | Case Manager/Care Coordinator | 107 Cranes Roost Ct, Elizabethtown, KY 42701-3650 | 2017-08-04 |
| 1053764076 | Victoria Clark | Physician Assistant | 1 Robert Wood Johnson Pl, Room 396, New Brunswick, NJ 08901-1928 | 2016-07-14 |
| 1346699733 | Victoria E Clark | Neurological Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-07 |
| Street Address |
VA SAN DIEGO HEALTHCARE SYSTEM 3350 LA JOLLA VILLAGE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92161-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154379949 | Mary Alice Lacy | Nurse Practitioner | Va San Diego Healthcare System, 3350 La Jolla Village Drive, Mc-118, San Diego, CA 92161-0001 | 2006-05-04 |
| 1972012268 | Jessica Lynne Lontayo | Student in an Organized Health Care Education/Training Program | Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0002 | 2017-09-29 |
| 1336458124 | Tatiana Anastasia Chircop-rollick | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive (116a), San Diego, CA 92161-0001 | 2010-09-28 |
| 1437464492 | Megan Ann Paulk | Audiologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2010-08-15 |
| 1013231067 | Kathleen Ann Mcchesney | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive, (116b), San Diego, CA 92161-0001 | 2010-03-19 |
| 1508098815 | Shannon Marie Matsko | Pharmacist | Va San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA 92161-0001 | 2009-08-20 |
| 1891926515 | Natalie Nicole Castriotta | Psychologist | Va San Diego Healthcare System, 33, San Diego, CA 92161-0001 | 2009-07-29 |
| 1346474848 | Carl Stepnowsky | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive (111n-1), San Diego, CA 92161-0001 | 2009-05-12 |
| 1245470871 | Christie A. Cole | Nurse Anesthetist, Certified Registered | Va San Diego Healthcare System, (mc 125) 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2009-02-23 |
| 1023255015 | Ryan Scott Trim | Psychologist | Va San Diego Healthcare System, 3350 La Jolla Village Drive (116b), San Diego, CA 92161-0001 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315807 | Laura Crocker | Psychologist | 3350 La Jolla Village Dr Mc 151b, San Diego, CA 92161 | 2017-09-22 |
| 1568849545 | Deborah Falch | Internal Medicine | Office of Primary Care Room 3322, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2015-04-29 |
| 1649566001 | Alyan Ali | Student in an Organized Health Care Education/Training Program | 350 La Jolla Village Dr, Unit 118, San Diego, CA 92161 | 2011-06-23 |
| 1992840144 | I-wei Shu | Psychiatry & Neurology | 3350 La Jolla Village Drive Mc 116a, San Diego, CA 92161 | 2007-02-21 |
| 1639252216 | R Shabetai | General Acute Care Hospital | Vahcs 3350 La Jolla Village Dr, Cardiolgy 111a, La Jolla, CA 92161 | 2006-10-24 |
| 1437233624 | Lee Michael Williams | Marriage & Family Therapist | Department of Veteran Affairs, 3350 La Jolla Village Dr, Psychology Department, San Diego, CA 92161 | 2006-10-24 |
| 1295824340 | Pamela Anne Broder | Pharmacist | San Diego Va Medical Center (119), 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-10-12 |
| 1750484259 | Michael Neil Oxman | Internal Medicine | Shingles Prevention Study (111f-1), Va Medical Center, 3350 La Jolla Village Drive, San Diego, CA 92161 | 2006-09-07 |
| 1295847358 | Patricia Ellen Fornes | Physical Therapist | Dept. Veterens Affairs San Diego Healthcare Services, 3350 La Jolla Village Dr. Dept. Pm&r Mb 117, San Diego, CA 92161 | 2006-08-31 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| Find all providers in zip 92161 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1629685987 | Erin Reeves | Dietitian, Registered | 8701 Lake Athabaska Way, San Diego, CA 92119-2825 | 2020-09-29 |
| 1033721907 | Feeding Your Soul Nutrition, LLC | Dietitian, Registered | 10622 Golden Willow Unit 125, San Diego, CA 92130-4930 | 2020-08-20 |
| 1043821333 | Tammy Manse | Dietitian, Registered | 2166 Pine St, San Diego, CA 92103-1523 | 2020-08-11 |
| 1992315691 | Dawn Michelle Rutherford | Dietitian, Registered | 4320 Viewridge Ave, San Diego, CA 92123-1690 | 2020-08-06 |
| 1821606344 | Andrea Michelle Kent | Dietitian, Registered | 5305 Cass St, San Diego, CA 92109-1207 | 2020-07-21 |
| 1841808003 | Sapna Bhalsod | Dietitian, Registered | 4816 W Mountain View Dr Apt 6, San Diego, CA 92116-1758 | 2020-07-14 |
| 1053937557 | Nicole Gomez | Dietitian, Registered | 4965 Corlita Ct, San Diego, CA 92122-3930 | 2020-06-19 |
| 1992320154 | Sarah Jamila Venters | Dietitian, Registered | 10379 Westward Ct, San Diego, CA 92131-6152 | 2020-06-13 |
| 1366066847 | Kathryn Baker Ward | Dietitian, Registered | 4321 Maryland St, San Diego, CA 92103-2333 | 2020-06-01 |
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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.