Rodney Duane Clark, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G71735 Issued in CA

Practice address

2425 Samaritan Dr
San Jose, CA 95124-3908

Phone

(408) 558-2100

NPI assigned

Jul 5, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Loma Linda University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 30)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G2 Anesthesia PC

  • Anesthesiology Physician
  • Los Gatos, CA
  • NPI 1487214698

  Anesthesiology, CA

  Medicare reassignment Care Compare group NPD
• Aaamg, Inc., a California Medical Corporation

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1225086507

  Anesthesiology

  NPD (past)
• Forest Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1023288131

  Anesthesiology

  NPD (past)
• Group Anesthesia Services Inc., a Medical Corporation

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1548218944

  Anesthesiology

  NPD (past)
• Santa Clara Anesthesia Solutions, Inc.

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1487409298

  Anesthesiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790716041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51451",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900515751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243908",
            "telephone_number": "408-558-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RODNEY",
        "middle_name": "DUANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G71735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G717350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Lani Clark
• Leslie Erin Clark, RN, NP
• Linda Catherine Clark
• Natasha Clark, RN
• Richard William Clark, MD
• Rosa Clark
• Sharon L Clark, PH.D.
• Tammi Annette Clark, D.C.
• Tom Hirano Clark, DDS
• Trinity E Clarke, THERAPIST

• Anesthesiology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.