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

Active since October 11, 2005
2089 VALE RD, SUITE 17, SAN PABLO, CA 94806(510) 237-2802(916) 239-3612 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert G. Clark M.d. NPPES

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

ROBERT G. CLARK M.D. (NPI 1174511489) is an individual family medicine provider in San Pablo, California, licensed in California (C22168) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1174511489
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT G. CLARKCredential: M.D.
Location Address2089 VALE RD, SUITE 17San Pablo, CA 94806-3847
Mailing Address2160 Appian Way, Suite 200Pinole, CA 94564-2524 · (510) 724-9110 · Fax (916) 239-3602
Fax(916) 239-3612
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateAugust 5, 2008
NPI 1174511489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · C22168
Definition
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.
2089 VALE RD, San Pablo, CA 94806

Other Identifiers 3

Medicare UPINA32093CA
Medicare PIN00C221681CA
Medicare PIN00C221680CA

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.

Podiatrist (Primary Podiatric Medicine)
2089 VALE RD, 12
SAN PABLO, CA 94806
Internal Medicine
2089 VALE RD, #21
SAN PABLO, CA 94806
Dentist (General Practice)
2089 VALE RD, SUITE 30
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
Dentist (General Practice)
2089 VALE RD, SUITE 15 AND 16
SAN PABLO, CA 94806
Dentist (General Practice)
2089 VALE RD, STE 30
SAN PABLO, CA 94806
Internal Medicine (Gastroenterology)
2089 VALE RD, SUITE 33
SAN PABLO, CA 94806

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 Robert Clark's NPI number?

The NPI number for Robert Clark is 1174511489. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Robert Clark located?

Robert Clark practices at 2089 Vale Rd Suite 17, San Pablo, CA 94806. The listed phone number is (510) 237-2802.

What is Robert Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert Clark was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.