DR. JOANN MARIE CLARK (NPI# 1952359911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952359911 |
| Entity Type | Individual |
| Full Name | DR. JOANN MARIE CLARK |
| Credential | NP |
| Practice Address |
200 West Arbor Drive Mc 8201 Ucsd Medical Center San Diego CA 92103-8201 |
| Mailing Address |
10430 Briarcliff Way San Diego CA 92131-1334 |
| Practice Telephone | 8586578531 |
| Practice Fax Number | 6195433183 |
| Mailing Telephone | 8582719809 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP7801 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588018600 | Joann Clark | Physical Therapist | 2730 Michener Dr, Fort Collins, CO 80526-6237 | 2016-04-14 |
| 1083777445 | Joann Clark | Dentist | 2214 Executive Dr, Suite A, Hampton, VA 23666-6606 | 2006-12-18 |
| 1619478112 | Joann Clark | Registered Nurse | 1314 Lake St, Ft Worth, TX 76102-4581 | 2018-02-21 |
| 1194955773 | Joann Branton Clark | Social Worker | 635 W College St, Florence, AL 35630-5313 | 2009-07-17 |
| Street Address |
200 WEST ARBOR DRIVE MC 8201 UCSD MEDICAL CENTER |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346298502 | Robert Turner Schooley | Internal Medicine | 200 West Arbor Drive Mc 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2006-05-04 |
| 1124044821 | Huei-sheng Vincent Chen | Internal Medicine | 200 West Arbor Drive Mc 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2006-07-14 |
| 1205870482 | Mickey Semo Coffler | Obstetrics & Gynecology | 200 West Arbor Drive Mc 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2006-06-16 |
| 1558313916 | Tissa R Hata | Dermatology | 200 West Arbor Drive Mc 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2006-05-16 |
| 1093764177 | Robert N. Weinreb | Ophthalmology | 200 West Arbor Drive Mc 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2006-05-08 |
| 1659329837 | Esmatullah Hatamy | Family Medicine | 200 West Arbor Drive Mc 8201, Ucsd Medical Center, San Diego, CA 92103-8201 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584008 | Venessa Beck | Nurse Practitioner | 903 Cardiff St, San Diego, CA 92114-5019 | 2020-10-08 |
| 1386107712 | Phillip Stephen Garibotto | Nurse Practitioner | 5090 Shoreham Pl Ste 209, San Diego, CA 92122-5935 | 2019-04-11 |
| 1013411016 | Virginia Zebley | Nurse Practitioner | 32547 Naval Miramar Medical Branch Clinic, San Diego, CA 92134-0001 | 2018-03-23 |
| 1528476256 | Julie Chrisco | Nurse Practitioner | 2365 Northside Dr, Suite 100, San Diego, CA 92108-2709 | 2014-07-25 |
| 1093130395 | Imelda Lim | Nurse Practitioner | 5795 Radio Ct, San Diego, CA 92114-6572 | 2014-02-23 |
| 1851505788 | Kathleen Finnigan-ryan | Nurse Practitioner | 4777 Imperial Ave, Lhs Student Health Center, San Diego, CA 92113-2071 | 2007-05-10 |
| 1194323121 | Ana Wong Pacis | Nurse Practitioner | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-10-12 |
| 1184263733 | Adenike Awolola | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-12-31 |
| 1275019150 | Stephanie Scirocco | Nurse Practitioner | 7565 Mission Valley Rd, San Diego, CA 92108 | 2018-07-13 |
| 1699263269 | Lysianne Van Pham | Nurse Practitioner | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2018-04-28 |
| Find all providers in SAN DIEGO | ||||
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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.