Brandi Clark

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1450 University Ave Ste F-508
Riverside, CA 92507-4467

Phone

(951) 488-4253

NPI assigned

Nov 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Little Seeds Matter

  • Community Health Clinic/Center
  • Riverside, CA
  • NPI 1336911726
  NPD

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1962275859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY AVE # F-508",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 UNIVERSITY AVE STE F-508",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074467",
            "telephone_number": "951-488-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRANDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Cardiac CT LLC
• Clarity Hearing AIDS & Services
• Stephanie Yvette Clark Rhoe, MSW
• Alexis Nicole Clark, NP
• Arthur Milton Clark Jr.
• Chad Leroy Clark, M.D.
• Craig Anson Clark, PA-C
• Danielle Clark
• Gary Michael Jesus Clark, CHW
• Isaiah Daniel Clark

• Community Health Worker in Riverside, CA
• Providers in Riverside, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.