Jason R. Clark
MD | Pediatrics | Male
Jason R. Clark, MD is a Redwood City, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jason R. Clark is
1150 Veterans Blvd, Redwood City, California - 94063-2037. He can be contacted on phone at
650-299-2000.
Jason R. Clark is a sole proprietor of his business.
NPI number (Unique professional ID) for Jason R. Clark is
1881773539 which was assigned by NPPES on 03 Nov, 2006 and it was last updated on 06 Dec, 2021.
Jason R. Clark license number is
A66681 for Pediatrics (208000000X) in California.
Jason R. Clark is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jason R. Clark basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jason R. Clark |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jason R. Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1150 Veterans Blvd
Redwood City, CA, 94063-2037
United States |
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| Phone Number : | 650-299-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1881773539 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2006 |
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| Last Updated On : | 06 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason R. Clark are as mentioned. Primary taxonomy code for Jason R. Clark, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A66681 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jason R. Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A666810 | MEDICAID | CA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 1150 VETERANS BLVD,
REDWOOD CITY, CA, 94063-2037
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1800 Harrison St Fl 7
Oakland, CA, 94612-3466
United States |
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| Phone Number : | 510-625-6262 |
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Business Location:
Patients can refer following map for directions to
Jason R. Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.