MRS. BRITTANI JOLAI CLARK (NPI# 1649727199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649727199 |
| Entity Type | Individual |
| Full Name | MRS. BRITTANI JOLAI CLARK |
| Other Name | BRITTANI JOLAI MCCULLOUGH |
| Credential | CPNP-PC |
| Practice Address |
1172 N Maclay Ave San Fernando CA 91340-1328 |
| Mailing Address |
28847 W Hills Dr Valencia CA 91354-3055 |
| Practice Telephone | 8188981388 |
| Practice Fax Number | 8182709590 |
| Mailing Telephone | 9512837146 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
95004797 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1172 N MACLAY AVE |
| City | SAN FERNANDO |
| State | CA |
| Zip Code | 91340-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835848 | Sharmeela Advani | Specialist | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2005-10-18 |
| 1356818967 | Saara Ashley Niamat | Physician Assistant | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-11-01 |
| 1225513591 | Shannon Lesley Lange | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-10-02 |
| 1033694302 | Mariam Alhakim | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2018-10-02 |
| 1700317237 | Melina Radparvar | Pediatrics | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2017-03-26 |
| 1033560537 | Victoria Curtin | Social Worker | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2016-06-26 |
| 1831547249 | Leticia Lopez | Nurse Practitioner | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2016-05-25 |
| 1033594676 | Linda Marie America | Registered Nurse | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2015-07-24 |
| 1154715670 | Gloria Monsalve | Family Medicine | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2015-03-23 |
| 1184026734 | Eric Andrew Williams | Family Medicine | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
| 1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
| 1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
| 1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
| 1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
| 1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
| 1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
| 1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
| 1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
| 1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
| Find all providers in zip 91340 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205110095 | Nicole Marie Hardy | Nurse Practitioner | 405 N Maclay Ave, 104, San Fernando, CA 91340-2445 | 2011-09-28 |
| 1487695003 | Maria Cruz Rubin | Nurse Practitioner | 1172 N Maclay Ave, San Fernando, CA 91340-1328 | 2006-06-08 |
| 1356333017 | Dolores Andrea Riviera | Nurse Practitioner | 1600 San Fernando Rd, San Fernando, CA 91340-3115 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668167 | Amber Briana Curry | Nurse Practitioner | 1336 6th Ave, San Francisco, CA 94122-2504 | 2020-10-30 |
| 1194325092 | Caitlin Pirruccello | Nurse Practitioner | 5400 Balboa Blvd Ste 210, Encino, CA 91316-5208 | 2020-10-29 |
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1184221798 | Larae Jean Hansen | Nurse Practitioner | 7805 Redondo St, Ventura, CA 93004-3814 | 2020-10-06 |
| 1497361612 | Brandon Philip Obero Vinzon | Nurse Practitioner | 155 E 4th St Apt 206, Long Beach, CA 90802-2498 | 2020-09-22 |
| 1538774070 | Emily Ruth Schoen | Nurse Practitioner | 110 Calle Balboa, San Clemente, CA 92672-3132 | 2020-09-11 |
| 1831715770 | Veronica Munoz-rivera I | Nurse Practitioner | 1327 Leopard Ct, Palmdale, CA 93551-4360 | 2020-06-16 |
| 1770102295 | Roxanna Arely Caballero | Nurse Practitioner | 185 N Douglas Ave, Fresno, CA 93727-3637 | 2020-04-14 |
| 1053949214 | Gina Louise James | Nurse Practitioner | 124 Stoney Hill Dr, Folsom, CA 95630-4614 | 2020-03-31 |
| 1831723519 | Patrinella Gonzales | Nurse Practitioner | 81833 Dr Carreon Blvd Ste 6, Indio, CA 92201-5590 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN FERNANDO |
| Zip Code | 91340 |
Please comment or provide details below to improve the information on MRS. BRITTANI JOLAI 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.