ROBERT G. CLARK M.D.
NPI 1174511489
Family Medicine in San Pablo, CA

NPI Status: Active since October 11, 2005

Contact Information

2089 VALE RD
SUITE 17
SAN PABLO, CA
ZIP 94806
Phone: (510) 237-2802
Fax: (916) 239-3612

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  • Individual
  • Male
  • Family Medicine

About ROBERT CLARK

This page provides the complete NPI Profile along with additional information for Robert Clark, a primary care provider established in San Pablo, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1174511489 assigned on October 2005. The practitioner's primary taxonomy code is 207Q00000X with license number C22168 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1174511489
Provider Name
ROBERT G. CLARK M.D.
Gender
Male
Entity Type
Individual
Location Address
2089 VALE RD SUITE 17 SAN PABLO, CA 94806
Location Phone
(510) 237-2802
Location Fax
(916) 239-3612
Mailing Address
2160 APPIAN WAY SUITE 200 PINOLE, CA 94564
Mailing Phone
(510) 724-9110
Mailing Fax
(916) 239-3612
Is Sole Proprietor?
No
Enumeration Date
10-11-2005
Last Update Date
08-05-2008
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A primary care provider (PCP) like Robert Clark sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
C22168
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A32093MEDICARE UPIN (02)CA 
00C221681MEDICARE PIN (08)CA 
00C221680MEDICARE PIN (08)CA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174511489, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 0 + 1 + 2 + 4 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1174511489.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Family Medicine
2089 VALE RD, SUITE 17
SAN PABLO, CA 94806
Surgery (Vascular Surgery)
2089 VALE RD, SUITE 23
SAN PABLO, CA 94806
Dentist (General Practice)
2089 VALE RD, SUITE 30
SAN PABLO, CA 94806
Internal Medicine
2089 VALE RD, #34
SAN PABLO, CA 94806
Specialist
2089 VALE RD, SUITE 25
SAN PABLO, CA 94806
Family Medicine
2089 VALE RD, SUITE 31
SAN PABLO, CA 94806
Surgery (Vascular Surgery)
2089 VALE RD, SUITE 23
SAN PABLO, CA 94806
Obstetrics & Gynecology (Gynecology)
2089 VALE RD, SUIT 24
SAN PABLO, CA 94806
Internal Medicine
2089 VALE RD, #21
SAN PABLO, CA 94806
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806
Nurse Practitioner (Family)
2089 VALE RD, SUITE NUMBER 31
SAN PABLO, CA 94806
Dentist (General Practice)
2089 VALE RD, STE 30
SAN PABLO, CA 94806
Dentist (General Practice)
2089 VALE RD, SUITE 15 AND 16
SAN PABLO, CA 94806
Podiatrist (Primary Podiatric Medicine)
2089 VALE RD, 12
SAN PABLO, CA 94806
Dentist (General Practice)
2089 VALE RD, SUITE 15 AND 16
SAN PABLO, CA 94806
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806
Specialist
2089 VALE RD, SUITE 25
SAN PABLO, CA 94806
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174511489, enumerated as an "individual" on October 11, 2005.

The provider is located at 2089 VALE RD SUITE 17 SAN PABLO, CA 94806 and the phone number is (510) 237-2802.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.