Joseph Clarke, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC15616 Issued in CA

Practice address

2104 Wilshire Blvd
Santa Monica, CA 90403-5704

Phone

(310) 828-8258

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

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.

• Cynthia Kodama, Inc

  • Clinic/Center
  • Santa Monica, CA
  • NPI 1003231101
  NPD (past)

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1669893913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 3RD ST",
            "address_2": "SUITE 311",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033738",
            "telephone_number": "323-363-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035704",
            "telephone_number": "310-828-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JOSEPH",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan E. Clark, PSY.D.
• Guiselle Clark, M.D.
• Judy Clark
• Lauren L Clark, DPT
• Sharif Clark, CATC-1 #177290
• Murray Clarke, L.AC
• Clavin Labs, Inc. (Ocean Surgicenter)
• Harold D. Clavin, M.D.
• Laurel Cleary, MSW
• Christal Marie Clemens, MD

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.