Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

NECHOLE CLARK
NPI 1023930989
Student in an Organized Health Care Education/Training Program in El Cajon, CA

Active since July 29, 2026
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685(619) 579-1969 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nechole Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NECHOLE CLARK (NPI 1023930989) is an individual student in an organized health care education/training program in El Cajon, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1023930989
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNECHOLE CLARK
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address1664 BroadwayEl Cajon, CA 92021-5201 · (619) 579-8685 · Fax (619) 579-1969
Fax(619) 579-1969
Sole ProprietorNo
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1023930989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1664 BROADWAY, El Cajon, CA 92021

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY, 142
EL CAJON, CA 92021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nechole Clark's NPI number?

The NPI number for Nechole Clark is 1023930989. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Nechole Clark located?

Nechole Clark practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Nechole Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nechole Clark was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.