Individual provider Active NPI

Dawn Marie Clark, N.P.

  • Adult Health Nurse Practitioner
  • Salinas, CA
National Provider Identifier
1891944088
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18186 Issued in CA
Practice address
1260 S Main St
Suite 201
Salinas, CA 93901-2288
Phone
(831) 769-9355
Fax
(831) 754-4955
NPI assigned
Sep 12, 2008
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 18186 CA Primary

Addresses

Primary practice location

1260 S Main St
Suite 201
Salinas, CA 93901-2288

Mailing address

1260 S Main St
Suite 201
Salinas, CA 93901-2288
Phone (831) 769-9355

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140411001638 CA Practitioner - Nurse Practitioner 6305078031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Dec 22, 2013 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Dec 22, 2013 Accepting new patients

Locations

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

1260 S Main St
Ste 201
Salinas, CA 93901
Phone (831) 758-2746

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1891944088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012288",
            "telephone_number": "831-769-9355",
            "fax_number": "831-754-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012288",
            "telephone_number": "831-769-9355",
            "fax_number": "831-754-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "18186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.