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MADISON MIMI CLARK
NPI 1295478501
Rehabilitation Practitioner in Fullerton, CA

Active since April 14, 2022
801 E. CHAPMAN AVE #203, FULLERTON, CA 92831(714) 680-9000 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Mimi Clark NPPES

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

MADISON MIMI CLARK (NPI 1295478501) is an individual rehabilitation practitioner in Fullerton, California and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1295478501
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMADISON MIMI CLARK
Location Address801 E. CHAPMAN AVE #203Fullerton, CA 92831-3839
Mailing AddressPo Box 919Fullerton, CA 92836-0919 · (714) 680-9000 · Fax (714) 680-8233
Phone(714) 680-9000
Sole ProprietorNo
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1295478501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

Other Providers at the Same Location NPPES 3

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

EVANGELINA NUNEZ LVN
Licensed Vocational Nurse
801 E. CHAPMAN AVE #203
FULLERTON, CA 92831
Orange County (714) 680-8268
MRS. YAHNIA MERCEDES CORDOVA LMFT119576
Marriage & Family Therapist
801 E. CHAPMAN AVE #203
FULLERTON, CA 92831
Orange County (714) 680-9000
JOSHUA SOTELO
Student in an Organized Health Care Education/Training Program
801 E. CHAPMAN AVE #203
FULLERTON, CA 92831
Orange County (714) 680-9000

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 Madison Clark's NPI number?

The NPI number for Madison Clark is 1295478501. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Madison Clark located?

Madison Clark practices at 801 E. Chapman Ave #203, Fullerton, CA 92831. The listed phone number is (714) 680-9000.

What is Madison Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Clark was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.