DR. CRAIG RAYMOND CLARK (NPI# 1497830186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497830186 |
Entity Type | Individual |
Full Name | DR. CRAIG RAYMOND CLARK |
Credential | DC |
Practice Address |
3140 Red Hill Ave #120 Costa Mesa CA 92626-3400 |
Practice Telephone | 7147082828 |
Practice Fax Number | 7147082971 |
Mailing Telephone | 7147082828 |
Mailing Fax Number | 7147082971 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 13980 | CA | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821227547 | Craig Clark | Specialist/Technologist | Furman University Sports Med, 3300 Poinsett Highway, Greenville, SC 29613-0001 | 2009-07-02 |
1427222843 | Craig Alan Clark | Dietitian, Registered | 9301 Sw 92nd Ave, Apt. #a312, Miami, FL 33176-2142 | 2008-04-16 |
1538262498 | Craig G Clark | Psychologist | 1800 Fair Oaks Ave Ste A, South Pasadena, CA 91030-4775 | 2006-09-06 |
1780165696 | Craig Steven Clark | Counselor | 4027 County Road 25, St Louis Park, MN 55416 | 2018-08-28 |
1598163453 | Craig Y Clark | Registered Nurse | 149 Spurwink Rd, Scarborough, ME 04074-8607 | 2014-12-09 |
1386971984 | Craig G. Clark | Pharmacist | 4949 W Ray Rd, Chandler, AZ 85226-2064 | 2009-11-03 |
1245453034 | Craig William Clark | Marriage & Family Therapist | 100 N Winchester Blvd, Suite 264, Santa Clara, CA 95050-6520 | 2007-04-10 |
1164529186 | Craig Anthony Clark | Psychiatry & Neurology | 30 Burton Hills Blvd, Suite 375, Nashville, TN 37215-6140 | 2006-09-20 |
1326057852 | Craig D Clark | Orthopaedic Surgery | 825 Nw Highway 101 Ste A, Lincoln City, OR 97367-3241 | 2006-08-05 |
1487609111 | Craig Leo Clark | Pharmacist | 1946 42nd St Ne, Cedar Rapids, IA 52402 | 2006-05-23 |
Street Address |
3140 RED HILL AVE #120 |
City | COSTA MESA |
State | CA |
Zip Code | 92626-3400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962502518 | Brian Kenneth Gerbode | Chiropractor | 3140 Red Hill Ave, Suite 120, Costa Mesa, CA 92626-3400 | 2006-09-24 |
1598370710 | Mira Coast Behavioral | Clinic/Center | 3140 Red Hill Ave, Costa Mesa, CA 92626-3400 | 2020-09-14 |
1326426826 | Tabrizi Family Chiropractic, PC | Chiropractor | 3140 Red Hill Ave, Suite 100, Costa Mesa, CA 92626-3400 | 2015-05-15 |
1487919304 | Ghazaleh Tabrizi | Chiropractor | 3140 Red Hill Ave, Suite 100, Costa Mesa, CA 92626-3400 | 2012-07-06 |
1689813214 | Sidney Mirrafati | Plastic Surgery | 3140 Red Hill Ave, Suite 150, Costa Mesa, CA 92626-3400 | 2009-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
Find all providers in zip 92626 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447885389 | Sara Van Dyke | Chiropractor | 1525 Mesa Verde Dr E Ste 108, Costa Mesa, CA 92626-5221 | 2020-03-11 |
1851926802 | Kendra Kautz | Chiropractor | 3188 Airway Ave Ste E, Costa Mesa, CA 92626-4652 | 2020-03-10 |
1841822699 | Shawn Tabrizi | Chiropractor | 3140 Red Hill Ave Ste 100, Costa Mesa, CA 92626-3400 | 2020-02-10 |
1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
1538600937 | Courtney Elyce Wilson | Chiropractor | 1525 Mesa Verde Dr E Ste 113, Costa Mesa, CA 92626-5221 | 2017-03-17 |
1063860591 | Connor Upper Cervical Chiropractic of Southern California | Chiropractor | 485 E 17th St Ste 510, Costa Mesa, CA 92627-4719 | 2016-05-25 |
1063869345 | Jane Macris | Chiropractor | 2845 Mesa Verde Dr E Ste 6d, Costa Mesa, CA 92626-4858 | 2016-05-17 |
1306231303 | Jordan Rio | Chiropractor | 1520 Nutmeg Pl Ste 260, Costa Mesa, CA 92626-2558 | 2015-04-06 |
1376981159 | Angela Marie Caraza | Chiropractor | 2900 Bristol St Ste J102, Costa Mesa, CA 92626-7918 | 2013-06-13 |
1962742270 | Gooing Chiropractic Clinic Inc | Chiropractor | 2787 Bristol St, Suite 102, Costa Mesa, CA 92626-5956 | 2013-02-22 |
Find all providers in COSTA MESA |
City | COSTA MESA |
Zip Code | 92626 |
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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.