Marcela Tinoco Clark

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

290 Ioof Ave
Rebekah Childrens Services 290 Ioof Ave
Gilroy, CA 95020

Phone

(408) 846-2467

NPI assigned

Nov 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marcela Tinoco Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1922540293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "address_2": "REBEKAH CHILDRENS SERVICES 290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 IOOF AVE",
            "address_2": "REBEKAH CHILDRENS SERVICES 290 IOOF AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-846-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARCELA",
        "middle_name": "TINOCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELA",
            "last_name": "CLARK",
            "middle_name": "TINOCO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Telvin T Ciby
• Melinda Letterman Circuit
• City of Gilroy
• Cayla M Clapham, BA
• Kristin Anne Clark
• Rodney Dale Clark
• Sandra Clark
• Sydney Danielle Clarke
• Cynthia Clawson
• Clayton L. Schiltz, D.O., Inc.

• Case Manager/Care Coordinator in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.