Angela Rose Clark, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

19480 Issued in CA

Practice address

335 Katherine Ave
Salinas, CA 93901-3176

Phone

(831) 771-0903

NPI assigned

Feb 25, 2010

Last updated

May 6, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.clark.2@5713.direct.athenahealth.com
• Direct secure messaging: angela.clark.p1@direct.csvs.nextgenshare.com

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.

• Athena Medical Group of the Central Coast, Inc.

  • Clinic/Center
  • Salinas, CA
  • NPI 1396178067
  Medicare reassignment NPD
• OB GYN Associates of the Central Coast

  • Obstetrics & Gynecology Physician
  • Salinas, CA
  • NPI 1215980925
  Medicare reassignment NPD

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1578885968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 KATHERINE AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013176",
            "telephone_number": "837-751-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KATHERINE AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013176",
            "telephone_number": "831-771-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "19480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ15686Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marlene Cisneros
• Joseph J Citro, CPO
• City of Salinas
• Jill C Claiborn, PT
• Kristina A Clamp, RADT
• Dawn Marie Clark, N.P.
• Jo Ellen N Clark, LCSW
• John Fredrick Clark, M.D.
• Amber Marie Claudio
• Arcadio de Jesus Claudio II

• Women's Health Nurse Practitioner in Salinas, CA
• Providers in Salinas, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.