Organization Active NPI

Socal Health Club, Inc.

Doing business as SoCal Health Club

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1134542871
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70202 Issued in CA
Legal business name
SOCAL HEALTH CLUB, INC.
Doing business as
SoCal Health Club
Practice address
4980 Tamiami TRL N Ste 102
Naples, FL 34103-2849
Phone
(239) 649-2300
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Dr. David James Clayton, MD
Title
Managing Director
Phone
(415) 609-8601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A70202 CA Primary

Addresses

Primary practice location

4980 Tamiami TRL N Ste 102
Naples, FL 34103-2849

Mailing address

11211 Sorrento Valley Rd
Suite Z
San Diego, CA 92121-1323
Phone (415) 609-8601

Other names 1

  • SoCal Health Club Doing business as

National Provider Directory

National Provider Directory

Locations

11211 Sorrento Valley Rd
Ste Z
San Diego, CA 92121
Phone (858) 597-9228

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1134542871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 SORRENTO VALLEY RD",
            "address_2": "SUITE Z",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211323",
            "telephone_number": "415-609-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 TAMIAMI TRL N STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032849",
            "telephone_number": "239-649-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL HEALTH CLUB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "415-609-8601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoCal Health Club",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SoCal Health Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.