Jennifer Makiki Clark, MPH, CHES

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

18262 Issued in CA

Practice address

5858 Wilshire Blvd Ste 300
Los Angeles, CA 90036-4509

Phone

(323) 935-8050

NPI assigned

Feb 27, 2012

Last updated

Feb 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breathe Southern California

  • Licensed Vocational Nurse
  • Los Angeles, CA
  • NPI 1750020376
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1083988794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CLOVERDALE AVE APT 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364132",
            "telephone_number": "714-852-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 WILSHIRE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364509",
            "telephone_number": "323-935-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "middle_name": "MAKIKI",
        "name_prefix": "Ms.",
        "credential": "MPH, CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "18262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Clark
• Florence Arcuri Clark, PHD, OTR L
• Glen Thomas Clark, DDS
• Hye-Jin Yun Clark, MD
• Jarron Clark
• Jesse Lawton Clark, M.D.
• Jillian Lorraine Clark, LMFT
• Kate Frances Clark, LMFT
• Katherine Clark, C.G.C.
• Kelly Sue Clark, OTR/L

• Health Educator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.