NATHAN CLARK (NPI# 1629684873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629684873 |
| Entity Type | Individual |
| Full Name | NATHAN CLARK |
| Credential | DC |
| Practice Address |
3030 Sawtelle Blvd Los Angeles CA 90066-1408 |
| Practice Telephone | 3103909018 |
| Practice Fax Number | 3103900868 |
| Mailing Telephone | 3103909018 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC14906 | CA | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2428 Santa Monica Blvd Suite 308, Santa Monica, CA 904049040 | 3104538393 | 3104538696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891150843 | Nathan Clark | Physical Therapy Assistant | 404 Olive St, Atlantic, IA 50022-1363 | 2015-12-17 |
| 1053664250 | Nathan M Clark | Chiropractor | 597 S Main St Ste A, Ukiah, CA 95482-4988 | 2012-10-25 |
| 1366097958 | Nathan C Clark | Physical Therapy Assistant | 4617 Austin Bluffs Pkwy, Colorado Springs, CO 80918-2937 | 2019-08-09 |
| 1932763570 | Nathan Clark | Physical Therapist | 3100 Olympus Blvd Ste 500, Coppell, TX 75019-5473 | 2019-04-29 |
| 1881172195 | Nathan Edward Clark | Behavioral Analyst | 4433 W Touhy Ave Ste 335, Lincolnwood, IL 60712-1820 | 2018-07-30 |
| 1699126508 | Nathan Daniel Clark | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2016-06-22 |
| 1538576798 | Nathan Daniel Clark | Pharmacist | 5100 Library Rd, Bethel Park, PA 15102-2829 | 2014-07-18 |
| 1578853883 | Nathan Blaine Clark | Nurse Practitioner | 310 W 5th St, Benton, KY 42025-1102 | 2011-04-08 |
| 1588898373 | Nathan A Clark | Podiatrist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2009-05-07 |
| 1528267721 | Nathan Clark | Pharmacy Technician | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2007-07-17 |
| Street Address |
3030 SAWTELLE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396738225 | Kenneth W Luther A Chiropracti | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2005-08-25 |
| 1053928390 | Wesley Jerome Oaties II | Physical Therapist | 3030 Sawtelle Blvd, Los Angeles, CA 90066 | 2020-09-30 |
| 1225644404 | Brandon Yowon Chung | Acupuncturist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2020-09-22 |
| 1932718780 | Casey Reyes Casaol | Physical Therapist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2020-07-28 |
| 1508426800 | Keiko Hamano | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2019-06-18 |
| 1760947782 | Tara Priya Das | Acupuncturist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2019-02-04 |
| 1437645405 | Nirada Phaphant | Acupuncturist | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2018-07-02 |
| 1649626755 | Nariman Gabay | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2016-05-06 |
| 1790141448 | Seo Yang | Chiropractor | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2016-01-11 |
| 1376968610 | Health Atlast West La | Internal Medicine | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 | 2014-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| 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 |
|---|---|---|---|---|
| 1770181646 | Astkhik Bagdasaryan | Chiropractor | 5250 Santa Monica Blvd Ste 303, Los Angeles, CA 90029-1255 | 2020-10-13 |
| 1205433661 | Henry Rivera | Chiropractor | 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025-7567 | 2020-10-07 |
| 1801417563 | Sangwook Lee | Chiropractor | 680 S Berendo St Apt 529, Los Angeles, CA 90005-2087 | 2020-05-04 |
| 1760003149 | Danielle Christine Johnston | Chiropractor | 1280 S Barrington Ave Apt 14, Los Angeles, CA 90025-1642 | 2020-04-27 |
| 1942820980 | Peter Yi | Chiropractor | 919 S Soto St Ste 5, Los Angeles, CA 90023-1303 | 2020-04-20 |
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1114552254 | Alkemy Acupuncture & Integrative Medicine, Inc. | Chiropractor | 700 W 9th St Apt 2418, Los Angeles, CA 90015-4545 | 2020-03-09 |
| 1205469764 | Tom Chung Optimum Chiropractic, Inc | Chiropractor | 3727 W 6th St Ste 616, Los Angeles, CA 90020-5111 | 2020-02-12 |
| 1639715352 | Jack Li, D.c., A Chiropractic Corporation | Chiropractor | 12340 Santa Monica Blvd Ste 129, Los Angeles, CA 90025-2584 | 2019-11-18 |
| 1740837384 | Annie Somi Lee | Chiropractor | 1458 S San Pedro St # L19, Los Angeles, CA 90015-3144 | 2019-08-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on NATHAN CLARK.
| 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.