Chester Dean Clark, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E2464 Issued in CA

Practice address

1611 S Euclid St
Anaheim, CA 92802-2406

Phone

(714) 535-2806

Fax

(714) 999-1167

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287878400000",
    "number": "1629089404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-535-2806",
            "fax_number": "714-999-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022406",
            "telephone_number": "714-535-2806",
            "fax_number": "714-999-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHESTER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Anaheim
• Kathryn M Clare, MFT
• Claret Physical Therapy, Inc.
• Clarifeye Family Optometry
• Charles Clariza
• Hannah Marie Clark
• Sabrina Claros
• Sharon P Clasen, NP
• Brian Ray Clawson
• Clayworks 4 Kids

• Foot Surgery Podiatrist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2010; 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.