Tara Maria Clark (NPI# 1285081299, PAC ID# 4789931924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285081299 |
| PAC ID by PECOS | 4789931924 |
| Professional Enrollment ID | I20180719001749 |
| Full Name | Tara Maria Clark |
| Organization Legal Name | ERICK MADRIGAL MD MBA INC |
| Address |
222 W Henderson Ave Porterville CA 93257-1731 |
| Phone Number | 55978454837 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436395324 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050261 | SIERRA VIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 222 W Henderson Ave, Porterville, CA 93257-1731 | 55978454837 | ERICK MADRIGAL MD MBA INC |
| Organization Legal Name | ERICK MADRIGAL MD MBA INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erick Madrigal | Family Medicine | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| David Rey Baro | Physician Assistant | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| Aaron Scott Currie | Physician Assistant | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| Luis O Ontiveros | Family Practice | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| Street Address |
222 W HENDERSON AVE |
| City | PORTERVILLE |
| State | CA |
| Zip | 93257-1731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erick Madrigal | Family Medicine | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| David Rey Baro | Physician Assistant | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| Aaron Scott Currie | Physician Assistant | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| Luis O Ontiveros | Family Practice | Erick Madrigal Md Mba Inc | 222 W Henderson Ave, Porterville, CA 93257-1731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Polster | Optometry | 1250 W Henderson Ave, Porterville, CA 93257-1455 | |
| Ravindra R Chand | Psychiatry | County of Tulare | 1055 W Henderson Ave, Porterville, CA 93257-1490 |
| Amber D Alves-mcauley | Clinical Social Worker | County of Tulare | 1055 W Henderson Ave, Porterville, CA 93257-1490 |
| Arieh Raumon Whisenhunt | Psychiatry | County of Tulare | 1055 W Henderson Ave, Porterville, CA 93257-1490 |
| Kelly R Edwards | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 1150 W Morton Ave, Suite B, Porterville, CA 93257-1940 |
| Michelle Marie Reader | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 1150 W Morton Ave, Suite B, Porterville, CA 93257-1940 |
| Abel Ojeda Jr. | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 1150 W Morton Ave, Suite B, Porterville, CA 93257-1940 |
| Benjamin M Larson | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 1150 W Morton Ave, Suite B, Porterville, CA 93257-1940 |
| Christopher S Lewis | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 1150 W Morton Ave, Suite B, Porterville, CA 93257-1940 |
| Joseph Terrill | Physical Therapy | Precision Rehabilitation and Orthopedic Physical Therapy Inc | 1150 W Morton Ave, Suite B, Porterville, CA 93257-1940 |
| Find all physicians in zip 93257 | |||
| City | PORTERVILLE |
| Zip Code | 93257 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORTERVILLE + NURSE PRACTITIONER |
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| 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.