Clarene Lulu David, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G075117 Issued in CA

Practice address

San Quentin State Prison
San Quentin, CA 94964

Phone

(415) 454-1460

NPI assigned

Jun 1, 2007

Last updated

Jul 8, 2007By 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

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Bakersfield Family Medical Group Inc

  dba Bakersfield Family Medical Group

  • Multi-Specialty Clinic/Center
  • Bakersfield, CA
  • NPI 1013912641

  Internal Medicine

  NPD (past)
• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)
• UCSF Medical Center

  • Adult Health Nurse Practitioner
  • San Quentin, CA
  • NPI 1790905156
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093917155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1273",
            "city": "SMITH RIVER",
            "state": "CA",
            "postal_code": "955671273",
            "telephone_number": "707-218-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAN QUENTIN STATE PRISON",
            "city": "SAN QUENTIN",
            "state": "CA",
            "postal_code": "94964",
            "telephone_number": "415-454-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "CLARENE",
        "middle_name": "LULU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G075117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Clark
• Robert E. Compton, D.D.S.
• Courtney Ann Corrado, PSY.D
• Corrections and Rehabilitation-Headquarters (Neumiller Infirmary Pharmacy)
• Ryan Michael Crowley, D.D.S.
• Bradley Kenneth Deal, M.D.
• Sarah Deweese, PSYD
• Reyna Downey, PHD
• Kenneth Gray Eifert, DDS
• Angelina K Enos, PSYD

• Internal Medicine Physician in San Quentin, CA
• Providers in San Quentin, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.