Clay Paul David
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Point Richmond, CA
NPI 1508554536 · NPPES record last updated Apr 27, 2023
Key facts
- NPI
- 1508554536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1160 Brickyard Cove Rd Ste 111
Point Richmond, CA 94801-4112 - Phone
- (925) 334-2289
- NPI assigned
- Apr 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1160 Brickyard Cove Rd Ste 111
Point Richmond, CA 94801-4112
Mailing address
819 Cragmont Ave
Berkeley, CA 94708-1303
Phone (510) 507-4751
Other providers in Point Richmond, CA
- Suellen Barnett
- Gloria Maria Contreras
- Elena Veronica Gonzales
- Curt T Le
- Carol S Lettko
- Magencia Samson Maramba
- Taren Pannu
All providers in Point Richmond, CA · Student in an Organized Health Care Education/Training Program in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.