Jonathan T Clarke, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G39986 Issued in CA

Practice address

747 52ND St
Department of Anesthesiology
Oakland, CA 94609-1809

Phone

(510) 428-3070

Fax

(510) 450-5853

NPI assigned

Apr 25, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1629034806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45731",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941450731",
            "telephone_number": "800-585-0868",
            "fax_number": "858-244-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3070",
            "fax_number": "510-450-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JONATHAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G39986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G399860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terra Clark
• Wendy L Clark, PT
• Elise Marie Clarke
• Gilian Clarke
• Jerdine Clarke, PSY.D.
• Mary M Clarke, PH.D.
• Pamela Orren Clarke, PH.D.
• Wayne Clarke
• Samantha L Clarkson
• Katherine Claros

• Anesthesiology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.