MITCHELL CLARK
NPI 1205307204
Rehabilitation Practitioner in San Francisco, CA

Q: What is Mitchell Clark's NPI number?

The NPI number for Mitchell Clark is 1205307204. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Mitchell Clark's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Mitchell Clark was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since December 17, 2018

921 LINCOLN WAY, SAN FRANCISCO, CA 94122(415) 664-1414 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Mar 6, 2021, Feb 24, 2021 and 1 more (4 updates tracked since 2018).

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About Mitchell Clark NPPES

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

MITCHELL CLARK (NPI 1205307204) is an individual rehabilitation practitioner in San Francisco, California and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1205307204

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameMITCHELL CLARK

Location Address921 LINCOLN WAYSan Francisco, CA 94122-2210

Mailing Address921 Lincoln WaySan Francisco, CA 94122-2210 · (415) 664-1414 · Fax (415) 664-7741

Phone(415) 664-1414

Sole ProprietorNo

Enumeration DateDecember 17, 2018

Last NPPES UpdateMay 14, 20254 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1205307204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

921 LINCOLN WAY, San Francisco, CA 94122

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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.

DIANA SISNEROS

Community Health Worker