DR. DIANE FAITH CLARK (NPI# 1922563139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922563139 |
| Entity Type | Individual |
| Full Name | DR. DIANE FAITH CLARK |
| Credential | LEP 3014 |
| Practice Address |
25631 Peter A Hartman Way Mission Viejo CA 92691-3142 |
| Practice Telephone | 9495803218 |
| Mailing Telephone | 9495803218 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
3014 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841767449 | Diane Clark | Registered Nurse | 8219 Golden Hbr, Missouri City, TX 77459-6905 | 2018-11-01 |
| 1669612644 | Diane M Clark | Counselor | 1557 Brandon Sq, Lawrenceville, GA 30044-3016 | 2009-03-03 |
| 1952763377 | Diane Clark | Registered Nurse | 1118 F St, Lewiston, ID 83501-1930 | 2016-03-24 |
| 1225419096 | Diane Clark | Social Worker | 1115 Westport Dr Ste D2, Manhattan, KS 66502-2871 | 2015-06-17 |
| 1164832887 | Diane Clark | Counselor | 233 S Quintana Dr, Anaheim, CA 92807 | 2014-05-02 |
| 1558634980 | Diane Clark | Pharmacist | 3639 Crater Lake Hwy, Medford, OR 97504-9259 | 2012-02-15 |
| 1881863488 | Diane K Clark | Nurse Practitioner | 9427 Sw Barnes Rd, Ste 595, Portland, OR 97225-6640 | 2008-02-27 |
| 1841406261 | Diane E. Clark | Counselor | 200 Washington St, Suite 205, Watertown, NY 13601-3335 | 2007-05-15 |
| 1306994637 | Diane Marie Clark | Chiropractor | 4705 S Clyde Morris Blvd, Port Orange, FL 32129-4103 | 2007-01-05 |
| 1306941166 | Diane Maxine Clark | Physical Therapist | 13560 Wayzata Blvd, Minnetonka, MN 55305-1850 | 2006-09-14 |
| Street Address |
25631 PETER A HARTMAN WAY |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942357132 | Saddleback Valley Usd | Local Education Agency (LEA) | 25631 Peter A Hartman Way, Mission Viejo, CA 92691-3142 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508414715 | Russell Storrie Griffiths | Psychologist | 28570 Marguerite Pkwy, Ste. L2, Mission Viejo, CA 92692 | 2019-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800610 | Christine Irene Wyeth I | Psychologist | 420 Orrell Dr, National City, CA 91950-7019 | 2020-10-30 |
| 1396351755 | Darinisha Williams | Psychologist | 228 W Pomona Ave Unit 453, Monrovia, CA 91016-4853 | 2020-09-21 |
| 1861006280 | Waneka Cabrera | Psychologist | 6140 Monterey Rd Apt 419, Los Angeles, CA 90042-5410 | 2020-09-02 |
| 1447862669 | Lynn Syrvart Saroyan | Psychologist | 302 W 5th St Ste 301, San Pedro, CA 90731-2750 | 2020-08-19 |
| 1386256741 | Earaj Afzal | Psychologist | 4175 Williwaw Dr, Irvine, CA 92620-3279 | 2020-08-18 |
| 1518578145 | Christina Marie Keefe | Psychologist | 222 Terrace Dr, Big Pine, CA 93513-2002 | 2020-08-17 |
| 1992317572 | Ferris Kevin Bruton | Psychologist | 850 Rosewood Ave, Vallejo, CA 94591-5647 | 2020-08-17 |
| 1376153460 | Louis Scott Addleson | Psychologist | 7915 Alida St, La Mesa, CA 91942-2541 | 2020-08-04 |
| 1326658592 | Aamna Hassan | Psychologist | 15132 Amso St, Poway, CA 92064-2604 | 2020-08-03 |
| 1922616218 | Janis Kingsley | Psychologist | 2746 Granville Ave, Los Angeles, CA 90064-3604 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on DR. DIANE FAITH 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.