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JUSTIN CLARK BOCO
NPI 1285136846
Orthotist in Redding, CA

Active since February 28, 2018
1844 SOUTH ST, REDDING, CA 96001(530) 243-4500(530) 243-4554 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 28, 2018 (2 updates tracked since 2018).

About Justin Clark Boco NPPES

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

JUSTIN CLARK BOCO (NPI 1285136846) is an individual orthotist provider in Redding, California and active in the NPI registry since February 2018. He maintains a secondary practice location in Red Bluff.

NPPES Registry Identity

NPI1285136846
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameJUSTIN CLARKCredential: BOCO
Location Address1844 SOUTH STRedding, CA 96001-1809
Mailing Address1844 South StRedding, CA 96001-1809 · (530) 243-4500 · Fax (530) 243-4554
Phone(530) 243-4500
Fax(530) 243-4554
Sole ProprietorNo
Enumeration DateFebruary 28, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1285136846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
1844 SOUTH ST, Redding, CA 96001
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Secondary Practice Location 1

Location 11399 Montgomery RdRed Bluff, CA 96080-4604 · Phone (530) 528-2200 · Fax (530) 528-2290

Other Identifiers 2

MedicaidGFC000180CA
OtherPG0073849001CA · Blue Shield Of Ca

Other Providers at the Same Location NPPES 10

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

HEATHER BRING CFM
Mastectomy Fitter
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
HEATHER BLETCHER CFM
Mastectomy Fitter
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
KIRK ROSE CPO
Prosthetist
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
JUSTIN WYNHOFF CPED
Pedorthist
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
TYLER ROWLEY CPO
Prosthetist
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
SPECTRUM PROSTHETICS & ORTHOTICS OF REDDING INC
Prosthetic/Orthotic Supplier
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
MATT HOFFER CFO
Orthotic Fitter
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500
KATHRYN JANISZEWSKI MSOP CPO
Prosthetist
1844 SOUTH ST
REDDING, CA 96001
Shasta County (530) 243-4500

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 Justin Clark's NPI number?

The NPI number for Justin Clark is 1285136846. It was assigned to this individual provider in the NPPES registry on February 28, 2018.

Where is Justin Clark located?

Justin Clark practices at 1844 South St, Redding, CA 96001. The listed phone number is (530) 243-4500.

What is Justin Clark's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Justin Clark was last updated on March 17, 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.