David Thomas Clark (NPI# 1104289495, PAC ID# 4183989759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1104289495 |
| PAC ID by PECOS | 4183989759 |
| Professional Enrollment ID | I20190924003437 |
| Full Name | David Thomas Clark |
| Organization Legal Name | CHINO EMERGENCY MEDICAL ASSOCIATES, INC. |
| Address |
5451 Walnut Ave Chino CA 91710-2609 |
| Phone Number | 9094648666 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9638334410 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050586 | CHINO VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5451 Walnut Ave, Chino, CA 91710-2609 | 9094648666 | CHINO EMERGENCY MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | CHINO EMERGENCY MEDICAL ASSOCIATES, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco R Ornelas Jr. | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Jose A Diaz | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| James S Winn | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Nicholas Mathew Orozco | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Varun Shahi | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Richard Harold Bracken | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Martin A Carrillo | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Vincent W Green | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Street Address |
5451 WALNUT AVE |
| City | CHINO |
| State | CA |
| Zip | 91710-2609 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Shofler | Podiatry | Western University of Health Sciences | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Gene S Hong | Pulmonary Disease | Inland Pulmonary Medical Group | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Dominic Nguyen | Anesthesiology | Panmed Anesthesia Services Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Joel H Block | Diagnostic Radiology | Radadvantage A Professional Corporation | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Reda M Tadros | Pathology | High Desert Pathology Medical Group | 5451 Walnut Ave, Department of Pathology, Chino, CA 91710-2609 |
| Francisco R Ornelas Jr. | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Kurt A Kamel | Anesthesiology | Panmed Anesthesia Services Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Jose A Diaz | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Alfonso J Carrillo | Diagnostic Radiology | Radadvantage A Professional Corporation | 5451 Walnut Ave, Chino, CA 91710-2609 |
| James S Winn | Emergency Medicine | Chino Emergency Medical Associates, Inc. | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Chee Chan | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Suraj P Rasania | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Jessica S Chong | Podiatry | 13768 Roswell Ave, Suite 107, Chino, CA 91710-1401 | |
| Jose M Pavia | Family Medicine | 13768 Roswell Ave, Suite 101, Chino, CA 91710-1401 | |
| Robert Chong | Podiatry | 13768 Roswell Ave, Suite 107, Chino, CA 91710-1401 | |
| Labib Hashimi | Hematology/oncology | 13768 Roswell Ave, Suite 105, Chino, CA 91710-1401 | |
| Tuan A Hoang-xuan | Dermatology | 13768 Roswell Ave, Suite 102, Chino, CA 91710-1401 | |
| Hammad O Khan | Cardiovascular Disease (cardiology) | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Roselyn M Dinsay | Obstetrics/gynecology | Prohealth Partners, A Medical Group | 13768 Roswell Ave, Suite 109, Chino, CA 91710-1401 |
| Farah A Ameeri | Family Medicine | 13768 Roswell Ave, Suite 115, Chino, CA 91710-1402 | |
| Find all physicians in zip 91710 | |||
| City | CHINO |
| Zip Code | 91710 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CHINO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David Thomas Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.