DR. THERESA ROSS CLARK (NPI# 1528104650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528104650 |
| Entity Type | Individual |
| Full Name | DR. THERESA ROSS CLARK |
| Other Name | DR. THERESA L ROSS |
| Credential | MD |
| Practice Address |
2067 W Vista Way Suite 200 Vista CA 92083-6031 |
| Mailing Address |
5343 Huaracha Ct San Diego CA 92124-1904 |
| Practice Telephone | 7607262180 |
| Mailing Telephone | 6197095009 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A110524 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 24637 | NE | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588118665 | Theresa Clark | Licensed Practical Nurse | 6541 Furnace Rd, Ontario, NY 14519-9701 | 2016-08-07 |
| 1003056383 | Theresa Carlisle Clark | Registered Nurse | 1900 Carriage Dr, Phenix City, AL 36867-2116 | 2009-02-26 |
| 1548441710 | Theresa M. Clark | Marriage & Family Therapist | 5 Colony Street, Suites 301/303, Meriden, CT 06451-3272 | 2007-11-16 |
| 1972700912 | Theresa Marie Clark | Counselor | 108 E 12th St, Suite 1, Hays, KS 67601-3668 | 2007-07-02 |
| 1013120948 | Theresa S. Clark | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2007-05-07 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1457688384 | Theresa Clark | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2009-11-13 |
| 1104079839 | Theresa Clark | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2008-10-26 |
| 1659520799 | Theresa Clark | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-12 |
| 1104015155 | Theresa L Clark | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4507 | 2007-10-16 |
| Street Address |
2067 W VISTA WAY SUITE 200 |
| City | VISTA |
| State | CA |
| Zip Code | 92083-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215933148 | Robert William Ziering | Allergy & Immunology | 2067 W Vista Way, Ste 140, Vista, CA 92083-6032 | 2005-06-24 |
| 1891337812 | Ali-akbar Hassan Shahine | Nurse Practitioner | 2067 W Vista Way, Vista, CA 92083-6031 | 2019-10-10 |
| 1699146969 | Xiangli Li, Md, PC | Internal Medicine | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2015-10-13 |
| 1679953244 | Venus Women's Healthcare Professionals | Obstetrics & Gynecology | 2067 W Vista Way, Ste160, Vista, CA 92083-6031 | 2015-06-08 |
| 1003202862 | Amy Lynn Alaby | Physical Therapist | 2067 W Vista Way, Ste 185, Vista, CA 92083-6031 | 2015-04-08 |
| 1003216029 | Soheil Ahghari | Pharmacy | 2067 W Vista Way, Ste#195, Vista, CA 92083-6031 | 2014-08-27 |
| 1316354822 | Erman Wei, Md, Inc | Specialist | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2014-07-16 |
| 1235546730 | Susan Dabney Heifetz,md, Inc | Specialist | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2014-07-16 |
| 1447671821 | Tristan I Seok | Physical Therapist | 2067 W Vista Way, Ste 185, Vista, CA 92083-6031 | 2014-01-02 |
| 1710222443 | Steven Luke Berthelsen | Podiatrist | 2067 W Vista Way, #265, Vista, CA 92083-6031 | 2012-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114496882 | Claire Louise Marsden | Speech-Language Pathologist | 1626 Fawley Lane, Vista, CA 92083 | 2018-11-24 |
| 1861975336 | Shawna Corn | Counselor | 216 W. Los Angeles Dr., Vista, CA 92083 | 2018-09-11 |
| 1164916433 | Sindia Zamarripa | Case Manager/Care Coordinator | 139 East Dr, Vista, CA 92083 | 2018-06-19 |
| 1184140295 | Rosa Gema Pamatz | Counselor | 216 West Los Angeles Dr, Vista, CA 92083 | 2017-08-21 |
| 1528452521 | Vincetta Cox | Nursing Care | 770 Sycamore Avenue, 122-178, Vista, CA 92083 | 2015-03-27 |
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1861623001 | Dawn Lindshield | Counselor | 550 W Vista Way Ste 408, Vista, CA 92083 | 2009-08-06 |
| 1932336534 | Amyjane Dill | Student in an Organized Health Care Education/Training Program | 216 W Los Angeles Drive, New Haven Youth Family Services, Vista, CA 92083 | 2009-06-22 |
| 1821239054 | Marisela Wong | Pharmacist | 1510 N. Santa Fe Avenue, Vista, CA 92083 | 2009-03-18 |
| 1235389602 | Erik Sven Peterson | Counselor | 155 W. Bobier, Vista, CA 92083 | 2008-09-23 |
| Find all providers in zip 92083 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871829606 | Michael N. Rutman, D.o., A Medical Corporation | Internal Medicine | 2355 S Melrose Dr, Vista, CA 92081-8788 | 2009-10-29 |
| 1689839722 | Galina L Khemlina | Internal Medicine | 1840 West Drive, Vista, CA 92083 | 2008-07-28 |
| 1962506238 | John Clancy | Internal Medicine | 2375 S Melrose Dr, Vista, CA 92081-8788 | 2006-09-08 |
| 1568475614 | Ethan T Nguyen | Internal Medicine | 2067 W Vista Way Ste 200, Vista, CA 92083-6033 | 2006-08-13 |
| 1164439667 | Franklin Galef | Internal Medicine | 2120 Thibodo Rd # 110, Vista, CA 92081-7901 | 2006-08-01 |
| 1245245018 | Reyzan E Shali | Internal Medicine | 130 Cedar Rd # 210, Vista, CA 92083-5102 | 2006-07-30 |
| 1558396077 | Seda Badalyan | Internal Medicine | 145 Thunder Dr Fl 1, Vista, CA 92083-6010 | 2006-07-12 |
| 1376574749 | Ryan W Stewart | Internal Medicine | 910 Sycamore Ave Ste 270, Vista, CA 92081-7852 | 2006-07-05 |
| 1376502062 | Jennifer Jil Silverman Newman | Internal Medicine | 1840 West Dr, Vista, CA 92083-6115 | 2006-03-21 |
| 1275519175 | Hanh M Bui | Internal Medicine | 2067 W Vista Way Ste 225, Vista, CA 92083-6001 | 2005-12-22 |
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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.