ALLEN O CLYDE (NPI# 1962538462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962538462 |
| Entity Type | Individual |
| Full Name | ALLEN O CLYDE |
| Credential | D.P.M. |
| Practice Address |
688 Medical Center Dr E Suite 106 Clovis CA 93611-6807 |
| Practice Telephone | 5592978604 |
| Practice Fax Number | 5592970625 |
| Mailing Telephone | 5592978604 |
| Mailing Fax Number | 5592970625 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E1976 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PODIATRIC MEDICINE | E1976 | 01 |
| CA | TAX ID | 946424550 | 01 |
| CA | 000E19760 | 05 | |
| CA | DEA | AC7035050 | 01 |
| CA | CALIFORNIA LICENSE | E19760 | 01 |
| Street Address |
688 MEDICAL CENTER DR E SUITE 106 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93611-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760518245 | Mark V Godiksen | Internal Medicine | 688 Medical Center Dr E, Suite 106, Clovis, CA 93611-6807 | 2007-02-26 |
| 1831504034 | Robert K Grazier Md Inc | General Practice | 688 Medical Center Dr E, Clovis, CA 93611-6807 | 2014-06-25 |
| 1760725758 | Mark Godiksen | Non-Pharmacy Dispensing Site | 688 Medical Center Dr E, Suite 106, Clovis, CA 93611-6807 | 2013-03-28 |
| 1790060457 | David Francis Carey | Family Medicine | 688 Medical Center Dr E, Clovis, CA 93611-6807 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1326506098 | Lauren Moriah Horsley | Speech-Language Pathologist | 650 W. Alluvial Ave., Clovis, CA 93611 | 2019-03-12 |
| 1780171223 | Alamos Care | Skilled Nursing Facility | 2193 Alamos Ave, Clovis, CA 93611 | 2018-04-19 |
| 1346612215 | Aimee Rasch | Occupational Therapy Assistant | 650 West Alluvial Avenue, Clovis, CA 93611 | 2015-10-30 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1093142697 | Stacey Melissa Montes | Nurse Practitioner | 729 N Medical Ctr Dr West, Suite 205, Clovis, CA 93611 | 2013-09-27 |
| 1538594163 | Carly Bren Lepp | Physician Assistant | 2006 Shaw Avenue, Clovis, CA 93611 | 2013-09-13 |
| 1811246150 | Vishal Arya | Pharmacist | 2518 Austin Ave, Clovis, CA 93611 | 2012-08-31 |
| 1669757209 | Kiran V Atwal | Pharmacist | 1815 Herndon Ave--walgreens, Clovis, CA 93611 | 2011-10-14 |
| 1952615957 | Weight Away | Nutritionist | 1895 Herndon Ave, Suite 105, Clovis, CA 93611 | 2010-08-02 |
| Find all providers in zip 93611 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347009 | Richard William Stamm | Podiatrist | 2425 West 21st Street, Clovis, NM 88101 | 2005-06-27 |
| 1417591744 | West Coast Podiatry, Inc | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2019-10-30 |
| 1437695327 | Eastern New Mexico Foot & Ankle, PC | Podiatrist | 1820 W 21st St, Clovis, NM 88101-4024 | 2017-01-16 |
| 1316259930 | Devin Dean Wahlen | Podiatrist | 1820 W 21st St, Clovis, NM 88101-4024 | 2010-07-12 |
| 1568605269 | Felipe Ruiz | Podiatrist | 724 Medical Center Dr E Ste 102, Clovis, CA 93611-6811 | 2009-04-09 |
| 1568551026 | Steven T. Naggs | Podiatrist | 1937 W 21st St, Clovis, NM 88101-4025 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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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.