TWILA B. CLARK (NPI# 1689927824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689927824 |
| Entity Type | Individual |
| Full Name | TWILA B. CLARK |
| Other Name | TWILA B. BERGET |
| Credential | PH.D. |
| Practice Address |
17595 Harvard Ave Ste C Irvine CA 92614-8522 |
| Practice Telephone | 7146159308 |
| Mailing Telephone | 7146159308 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 22187 | CA | Behavioral Health & Social Service Providers |
| Street Address |
17595 HARVARD AVE STE C |
| City | IRVINE |
| State | CA |
| Zip Code | 92614-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053560276 | Fortunato David Azoulay | Physical Therapist | 17595 Harvard Ave Ste C, Irvine, CA 92614-8522 | 2008-09-11 |
| 1689949257 | Ian K Tseng | Radiology | 17595 Harvard Ave Ste C, Irvine, CA 92614 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1245843572 | Jose Raul Sanchez IIi | Behavior Technician | 1063 Mcgraw Ave, Irvine, CA 92614 | 2020-08-26 |
| 1548871064 | Angelina Renee Armenta | Behavior Technician | 1063 Mcgraw Avenue, Suite 100, Irvine, CA 92614 | 2020-08-10 |
| 1083267827 | Jd Health LLC | Durable Medical Equipment & Medical Supplies | 18003 Sky Park Circle, Suite B-c, Irvine, CA 92614 | 2019-07-22 |
| 1326609280 | Abigail Briana Lozano-flores | Behavior Technician | 18008 Sky Park Circle, Suite 110, Irvine, CA 92614 | 2019-06-21 |
| 1770085235 | Heather M. Ayala | Dietitian, Registered | 17985 Sky Park Circle Suite A, Irvine, CA 92614 | 2018-03-01 |
| 1598266033 | Camille Plumbar | Chiropractor | 17811 Skypark Circle, Suite E, Irvine, CA 92614 | 2018-02-21 |
| 1952812448 | Mary M Ahmadian | Nurse Practitioner | Global Transitional Care Suite 100, 2 Executive Circle, Irvine, CA 92614 | 2017-10-24 |
| 1134656804 | Reza Abaei Tafreshi | Dentist | 3 Pazzi, Irvine, CA 92614 | 2017-05-12 |
| 1467991307 | Laboratory Medicine Consultants In Diagnostics | Medical Genetics | 1565 A Mcgaw Ave, Irvine, CA 92614 | 2017-02-13 |
| Find all providers in zip 92614 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659618 | Gauri Saxena | Psychologist | 242 Dewdrop, Irvine, CA 92603-0650 | 2020-04-27 |
| 1083198162 | Kyle Kermott | Psychologist | 18010 Sky Park Cir Ste 290, Irvine, CA 92614-6487 | 2018-09-24 |
| 1245713163 | Saimir Thano | Psychologist | 203 Student Services I, Irvine, CA 92697-0001 | 2018-09-07 |
| 1730525536 | Shirin Ansari | Psychologist | 16220 Scientific, Irvine, CA 92618-4349 | 2013-05-20 |
| 1831474345 | Elham Shoja | Psychologist | 8 Corporate Park Suite 300, Irvine, CA 92606 | 2011-10-15 |
| 1538448345 | Connie Joo Won | Psychologist | 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 | 2011-08-10 |
| 1366734477 | Yoon Shim Lee | Psychologist | 4605 Barranca Pkwy Ste 101d, Irvine, CA 92604-1726 | 2011-05-07 |
| 1770884470 | James Shafer Ph.d. A Psychological Corp. | Psychologist | 6 Venture Ste 350, Irvine, CA 92618-7350 | 2010-11-11 |
| 1588971741 | Erica Lehman | Psychologist | 15615 Alton Parkway, Suite 230, Irvine, CA 92618-7306 | 2010-09-09 |
| 1285834424 | Tracy A Williamson | Psychologist | 300 Spectrum Dr., Irvine, CA 92618 | 2007-07-24 |
| Find all providers in IRVINE | ||||
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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.