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MR. EDWARD DERBY CLARK I
NPI 1093028870
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since July 21, 2010
1355 PEBBLEWOOD DR, SACRAMENTO, CA 95833(916) 289-9380(916) 441-1758 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Edward Derby Clark I NPPES

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

MR. EDWARD DERBY CLARK I (NPI 1093028870) is an individual addiction (substance use disorder) provider in Sacramento, California and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1093028870
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDWARD DERBY CLARK I
Location Address1355 PEBBLEWOOD DRSacramento, CA 95833-1612
Mailing Address1355 Pebblewood DrSacramento, CA 95833-1612 · (916) 289-9380 · Fax (916) 441-1758
Phone(916) 289-9380
Fax(916) 441-1758
Sole ProprietorNo
Enumeration DateJuly 21, 2010
Last NPPES UpdateJune 18, 2015
✔ NPI 1093028870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1355 PEBBLEWOOD DR, Sacramento, CA 95833
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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 Edward Clark's NPI number?

The NPI number for Edward Clark is 1093028870. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Edward Clark located?

Edward Clark practices at 1355 Pebblewood Dr, Sacramento, CA 95833. The listed phone number is (916) 289-9380.

What is Edward Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Clark was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.