Organization Active NPI

Clark's Mobile Care

  • Non-emergency Medical Transport (VAN)
  • Elk Grove, CA
National Provider Identifier
1134470354
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CLARK'S MOBILE CARE
Practice address
8768 Sugarnotch CT
Elk Grove, CA 95758-6751
Phone
(916) 399-5661
Fax
(916) 399-9182
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Mr. Eugene Eldridge CL;Ark III
Title
Ceo
Phone
(916) 715-3506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

8768 Sugarnotch CT
Elk Grove, CA 95758-6751

Mailing address

8768 Sugarnotch CT
Elk Grove, CA 95758-6751
Phone (916) 399-5661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1134470354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8768 SUGARNOTCH CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586751",
            "telephone_number": "916-399-5661",
            "fax_number": "916-399-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8768 SUGARNOTCH CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957586751",
            "telephone_number": "916-399-5661",
            "fax_number": "916-399-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK'S MOBILE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "CL;ARK",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ELDRIDGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-715-3506",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

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