Greta Fields Clarke, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G33757 Issued in CA

Practice address

5758 Geary Blvd
#534
San Francisco, CA 94121-2112

Phone

(415) 418-4098

Fax

(415) 221-5078

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Greta Clarke Wims Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1912059494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5758 GEARY BLVD",
            "address_2": "#534",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212112",
            "telephone_number": "415-418-4098",
            "fax_number": "415-221-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5758 GEARY BLVD",
            "address_2": "#534",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212112",
            "telephone_number": "415-418-4098",
            "fax_number": "415-221-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "GRETA",
        "middle_name": "FIELDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G33757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G337570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "WIMS",
            "middle_name": "CLARKE",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Taylor Chapman Clark, M.D.
• Toure Chiwan Clark, MPH
• Alexander Linden Clarke, MBBS FANZCA
• Annette V. Clarke, PH.D.
• Genevieve Anastasia Clarke
• Hannah Ruth Clarke
• Jennifer Leigh Clarke, MD, MPH
• Katherine Clarke, CRNP
• Kelly Kennedy Clarke
• Kevin Richard Clarke, M.D.

• Dermatology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.