MS. REBEKAH ANN CLARK


Address: 700 S Tustin St, Orange, CA 92866-3425
Phone: 7146336373

MS. REBEKAH ANN CLARK (NPI# 1851644215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851644215
Entity Type Individual
Full Name MS. REBEKAH ANN CLARK
Other Name MISS REBEKAH ANN BLOOMFIELD
Credential NP
Practice Address 700 S Tustin St
Orange
CA 92866-3425
Mailing Address 1421 E 17th St
Santa Ana
CA 92705-8505
Practice Telephone 7146336373
Mailing Telephone 7146336373
Enumeration Date 2012-10-23
Last Update Date 2012-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
21761 CA Physician Assistants & Advanced Practice Nursing Providers

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1093098378 Rebekah S Clark Case Manager/Care Coordinator 917 Harding St, Seminole, OK 74868-3836 2011-09-23
1285960096 Rebekah Clark Counselor 867 N Memorial Dr, Suite B, Prattville, AL 36067-2021 2009-10-29
1487052791 Rebekah Clark Social Worker 2303 E Burnside St, Portland, OR 97214-1655 2014-12-18
1093953325 Rebekah Ann Clark Social Worker 4600 3rd St, Moline, IL 61265-6106 2009-01-23

Office Location

Street Address 700 S TUSTIN ST
City ORANGE
State CA
Zip Code 92866-3425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912976408 Planned Parenthood of Orange/san Bernardino Counties Clinic/Center 700 S Tustin St, Orange, CA 92866-3425 2006-03-16
1104466127 Lynne Lindberg Social Worker 700 S Tustin St, Orange, CA 92866-3425 2020-01-07
1073173506 Natalie Bui Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2019-06-17
1508426099 Sahar Naz Nourani Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2019-06-17
1235622077 Carla Hirashima Nurse Practitioner 700 S Tustin St, Orange, CA 92866-3425 2018-06-06
1013459262 Daisy Mendoza-flores Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2016-11-04
1942742192 Denise Flores Garcia Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2016-11-04
1629524095 Rebecca Darlene Lesinski Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2016-08-26
1992251409 Danielle Annette Gribben Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2016-08-26
1407209513 Lyna Kim Nguyen Registered Nurse 700 S Tustin St, Orange, CA 92866-3425 2016-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386277499 Jessica Hsu, M.d.,inc Dermatology 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 2020-02-17
1477114122 Beverley P Brownell Nurse Practitioner 1215 E. Chapman Avenue, Orange, CA 92866 2019-06-24
1528539442 Brian Chau Pharmacist 1538 E. Chapman Ave, Orange, CA 92866 2018-12-17
1891214599 Nancy Lee Mcdonald Registered Nurse 700 Sout Tustin, Orange, CA 92866 2017-09-13
1962932541 Hao Phu Nguyen Counselor 401 S. Tustin Street, Building D, Orange, CA 92866 2017-06-15
1932567377 Lori Lynn Hughes Psychologist 734 E. Chapman Ave., Suite 734, Orange, CA 92866 2016-01-30
1417291360 Lori Ann Bartczak Speech-Language Pathologist 393 S. Tustin St., Orange, CA 92866 2012-11-15
1497046064 Pacific Shore Surgery Center Clinic/Center 302 W. Laveta Ave, Suite 100, Orange, CA 92866 2011-04-29
1871805127 Spring Medley Peavy Nurse Practitioner 1040 E. Chapman Ave, Orange, CA 92866 2010-07-01
1790956084 Kevin Robert Franks Dentist 532 E Chapman Ave, Orange, CA 92866 2008-03-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306452966 Velvet Maloy Nurse Practitioner 1312 County Road 3139, Orange, TX 77632-1633 2020-09-18
1265048151 Christina Marie O'guinn Nurse Practitioner 2660 N Santiago Blvd # 100, Orange, CA 92867-1859 2020-09-16
1548871429 Holley Moreau Nurse Practitioner 6136 Crosstimber Dr, Orange, TX 77632-7610 2020-08-13
1174147581 Stephanie Michelle Chapman Nurse Practitioner 387 N Clark St, Orange, CA 92868-2218 2020-06-01
1952920621 Natasha Caruth Nurse Practitioner 301 Seven Oaks Way, Orange, NJ 07050-3376 2020-04-13
1053944488 Laura Lee Arvizo Nurse Practitioner 432 County Road 3139, Orange, TX 77632-1532 2020-02-13
1447801402 Joel George Pohorence Nurse Practitioner 10080 E Greenwood Dr, Orange, TX 77630-3241 2019-09-21
1477114122 Beverley P Brownell Nurse Practitioner 1215 E. Chapman Avenue, Orange, CA 92866 2019-06-24
1568924793 Denise Giovanazzi Weinberg Nurse Practitioner 3215 East Abbey Lane, Orange, CA 92867 2019-04-05
1033688445 Tatiana Tumeniuk Nurse Practitioner 240 Indian River Rd Ste A5, Orange, CT 06477-3690 2018-11-14
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Competitor

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City ORANGE
Zip Code 92866

Improve Information

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Dataset Information

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.

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