John Richard Clark II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 17275 Issued in CA

Practice address

750 Sycamore Ave Ste B
Vista, CA 92083-7912

Phone

(760) 598-1021

Fax

(760) 598-5584

NPI assigned

May 16, 2007

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sycamore Chiropractic Inc

  • Chiropractor
  • Vista, CA
  • NPI 1518158690
  NPD (past) Authorized official
• Sycamore Chiropractic Center Inc.

  • Chiropractor
  • Vista, CA
  • NPI 1518931088
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982811493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NW DELAWARE AVE # A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013226",
            "telephone_number": "541-389-5849",
            "fax_number": "541-330-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SYCAMORE AVE STE B",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837912",
            "telephone_number": "760-598-1021",
            "fax_number": "760-598-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 17275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Clancy, DO
• Tara Leigh Clancy, D.O.
• Belinda T Clanor, D.O.
• Cynthia Rae Clark, F.N.P.
• Donna M Clark, GNP
• Ma.Belen S. Clark, M.D.
• Theresa Ross Clark, MD
• Thomas B Clark, D.C.
• Chunjai Powell Clarkson, M.D.
• Brandon Lee Clemens, RADT

• Chiropractor in Vista, CA
• Providers in Vista, CA by specialty
• Chiropractor 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.
• 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.