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JORDAN MICHAEL CLARK DO
NPI 1356280325
Student in an Organized Health Care Education/Training Program in Roseville, CA

Active since March 26, 2026
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 292-0294 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Michael Clark Do NPPES

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

JORDAN MICHAEL CLARK DO (NPI 1356280325) is an individual student in an organized health care education/training program in Roseville, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1356280325
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN MICHAEL CLARKCredential: DO
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037
Phone(916) 292-0294
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1356280325 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.
1 MEDICAL PLAZA DR, Roseville, CA 95661
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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.

IQBAL SINGH GREWAL MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
MICHELLE LYNNE STONE
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 292-0294
PREYA S SHETH
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
CHAN MI SUNG FNP-BC
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
ARIANNA GREGG
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 292-0294
KIMBERLY S. NEWLIN NP
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1670
NAVEEN REDDY MD
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000
SARA MASHAYEKAN MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Placer County (916) 781-1000

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 Jordan Clark's NPI number?

The NPI number for Jordan Clark is 1356280325. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Jordan Clark located?

Jordan Clark practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 292-0294.

What is Jordan 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 Jordan Clark was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.