DR. DOUGLAS GEORGE CLARK (NPI# 1780688572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780688572 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS GEORGE CLARK |
| Credential | M.D. |
| Practice Address |
12665 Garden Grove Blvd Suite 301 Garden Grove CA 92843-1901 |
| Practice Telephone | 7145307373 |
| Practice Fax Number | 7145307940 |
| Mailing Telephone | 7145307373 |
| Mailing Fax Number | 7145307940 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G050862 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1760735328 | Douglas Lee Clark | Pharmacist | 9750 Highway 70, Minocqua, WI 54548-9753 | 2012-10-19 |
| 1821308974 | Douglas Owen Clark | Obstetrics & Gynecology | 21010 Black Walnut Ln, A, Brookfield, WI 53045-4062 | 2010-10-07 |
| 1427135185 | Douglas James Clark | Social Worker | Brockton Va Medical Center, 940 Belmont St., Brockton, MA 02301 | 2006-11-01 |
| 1487682498 | Douglas Marley Clark | Physician Assistant | 2317 S Roane St, Community Care Walk In Clinic, Harriman, TN 37748-8653 | 2006-06-29 |
| 1326038035 | Douglas A. Clark | Physician Assistant | 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205-6375 | 2005-10-25 |
| 1114920238 | Douglas A. Clark | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1528211786 | Douglas Craig Clark | Dentist | 118 W 5th St, Covington, KY 41011-1481 | 2008-10-30 |
| 1568592186 | Douglas E Clark | Pharmacist | 129 Gill St, Alcoa, TN 37701-2656 | 2007-03-06 |
| 1396892907 | Douglas A Clark | Orthopaedic Surgery | 2055 E Southern Ave, Suite G, Tempe, AZ 85282-7507 | 2007-01-04 |
| Street Address |
12665 GARDEN GROVE BLVD SUITE 301 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980854 | Jonathan S Warnelo | Internal Medicine | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1904 | 2017-05-30 |
| 1538518444 | Peter H. Dang, Dds, Inc. | Dentist | 12665 Garden Grove Blvd, #208, Garden Grove, CA 92843-1901 | 2016-06-10 |
| 1538529185 | Negin Behazin Md, A Med Corp | General Practice | 12665 Garden Grove Blvd, Suite 710, Garden Grove, CA 92843-1901 | 2016-02-24 |
| 1922467299 | Shieun Hong | Nurse Practitioner | 12665 Garden Grove Blvd, #503, Garden Grove, CA 92843-1901 | 2016-02-16 |
| 1427416841 | Vivien T Thach | Nurse Practitioner | 12665 Garden Grove Blvd, 502a, Garden Grove, CA 92843-1901 | 2016-01-29 |
| 1588033773 | Dr. Grace Guimei Yao, A Professional Corporation | Specialist | 12665 Garden Grove Blvd, Suite 600, Garden Grove, CA 92843 | 2015-09-18 |
| 1952781932 | Ali Fouladi, M.d., Inc. | Surgery | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1901 | 2015-06-04 |
| 1346637352 | Crystal Tong | Optometrist | 12665 Garden Grove Blvd, Ste 301, Garden Grove, CA 92843-1901 | 2015-04-17 |
| 1114319621 | Select Multi Specialty Medical Care | Clinical Medical Laboratory | 12665 Garden Grove Blvd, 203, Garden Grove, CA 92843-1901 | 2015-02-21 |
| 1306237755 | Syed Rizvi | Spec/Tech, Pathology | 12665 Garden Grove Blvd, 204, Garden Grove, CA 92843-1901 | 2015-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| 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 |
|---|---|---|---|---|
| 1053979740 | Thuy Thanh Nguyen, Md, Inc. | Internal Medicine | 12302 Garden Grove Blvd Ste 27, Garden Grove, CA 92843-1834 | 2019-05-29 |
| 1962922393 | Shireen Zynab Khalife | Internal Medicine | 12665 Garden Grove Blvd Ste 502, Garden Grove, CA 92843-1919 | 2017-06-27 |
| 1972919744 | Physicianpartnersipa, Inc. | Internal Medicine | 14221 Euclid St Ste G, Garden Grove, CA 92843-4991 | 2014-07-01 |
| 1124359138 | Sarah Jean Strube | Internal Medicine | 13278 Woodbrook Cir, Garden Grove, CA 92844-1821 | 2010-01-15 |
| 1790917631 | Danh Thanh Dan | Internal Medicine | 12688 Chapman Ave, Suite 3116, Garden Grove, CA 92840-4041 | 2009-08-11 |
| 1760623847 | Tuan Xuan Nguyen, Md, A Prof Corp. | Internal Medicine | 14221 N. Euclid St, Suite H, Garden Grove, CA 92843-4991 | 2009-03-18 |
| 1386812394 | Soomchungmdoncology-hematologypc | Internal Medicine | 12555 Garden Grove Blvd Ste 309, Garden Grove, CA 92843-1903 | 2008-02-12 |
| 1326263633 | Garden Grove Primary Care Medicine, Inc. | Internal Medicine | 12555 Garden Grove Blvd Ste 301, Garden Grove, CA 92843-1903 | 2007-04-13 |
| 1629118468 | Sachchida N. Sinha | Internal Medicine | 12005 Harbor Blvd, Garden Grove, CA 92840-4001 | 2007-02-08 |
| 1942359823 | Licorish Medical Corporation | Internal Medicine | 8803 Garden Grove Blvd, Garden Grove, CA 92844-1211 | 2007-01-09 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
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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.