SAMUEL J. CLARK, M.D., INC.
NPI 1124079793
Internal Medicine - Pulmonary Disease in San Diego, CA

Q: What is Samuel J. Clark, M.D., Inc.'s NPI number?

The NPI number for Samuel J. Clark, M.D., Inc. is 1124079793. It was assigned to this organization in the NPPES registry on May 16, 2006.

Q: What is Samuel J. Clark, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since May 16, 2006

1940 EL CAJON BLVD, SAN DIEGO, CA 92104(619) 218-5688(619) 795-3991 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Aug 22, 2020 (2 updates tracked since 2020).

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About Samuel J. Clark, M.d., Inc. NPPES

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

SAMUEL J. CLARK, M.D., INC. (NPI 1124079793) is a healthcare organization registered as a pulmonary disease in San Diego, California and active in the NPI registry since May 2006. The organization lists Samuel J. Clark, President, as its authorized official.

NPPES Registry Identity

NPI1124079793

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameSAMUEL J. CLARK, M.D., INC.

Location Address1940 EL CAJON BLVDSan Diego, CA 92104-1005

Mailing AddressPo Box 881609San Diego, CA 92168-1609 · (619) 794-2521 · Fax (619) 794-2523

Phone(619) 218-5688

Fax(619) 795-3991

Organization SubpartNo

Authorized OfficialSamuel J. ClarkPresident · (619) 218-5688

Enumeration DateMay 16, 2006

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1124079793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1940 EL CAJON BLVD, San Diego, CA 92104

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

SADIYA HASAN

Dietitian, Registered