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KEVIN CLARK
NPI 1205312667
Student in an Organized Health Care Education/Training Program in San Leandro, CA

Active since July 18, 2018
2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Clark NPPES

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

KEVIN CLARK (NPI 1205312667) is an individual student in an organized health care education/training program in San Leandro, California and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1205312667
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN CLARK
Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Enumeration DateJuly 18, 2018
✔ NPI 1205312667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2275 ARLINGTON DR, San Leandro, CA 94578
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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.

ANUSHEH N WARDA
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 481-1222
RASHIDA BREMNER ONWUKA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MEREDITH JOHNSTON
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
CLAUDIA FIGUEROA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1437
JACQUELYN OWENS
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
EVA ADILENE REYES GARCIA
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MICHELLEE HARRIS
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MELANIE DAVENPORT
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444

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 Kevin Clark's NPI number?

The NPI number for Kevin Clark is 1205312667. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Kevin Clark located?

Kevin Clark practices at 2275 Arlington Dr, San Leandro, CA 94578. The listed phone number is (510) 317-1444.

What is Kevin Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kevin Clark was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.