1. Home
  2. Directory
  3. California
  4. San Diego
  5. Military Health Care Provider
  6. NPI Profile

MICHAEL CLARK
NPI 1376751917
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since May 18, 2007
140 SYLVESTER RD, SAN DIEGO, CA 92106(619) 553-8719 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Clark NPPES

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

MICHAEL CLARK (NPI 1376751917) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1376751917
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMICHAEL CLARK
Location Address140 SYLVESTER RDSan Diego, CA 92106-3521
Mailing Address25106 Corn Field CtMenifee, CA 92584-8562 · (951) 679-3324
Phone(619) 553-8719
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1376751917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
140 SYLVESTER RD, San Diego, CA 92106
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

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

MR. ANTHONY PETRONE JR. MA
Military Health Care Provider (Independent Duty Medical Technicians)
140 SYLVESTER RD
SAN DIEGO, CA 92106
San Diego County (619) 553-8719
DR. MARK MICHAEL HEYNE PH.D.
Psychologist (Clinical)
140 SYLVESTER RD, BUILDING 500
SAN DIEGO, CA 92106
San Diego County (619) 553-8555
JOCELYN V. SAZON MSN RN NI-BC TCRN
Clinical Nurse Specialist (Informatics)
140 SYLVESTER RD
SAN DIEGO, CA 92106
San Diego County (619) 767-4774
JOSE LUIS PINA
Military Health Care Provider (Independent Duty Corpsman)
140 SYLVESTER RD
SAN DIEGO, CA 92106
San Diego County (619) 553-2451
BRANCH DENTAL CLINIC SUB BASE SAN DIEGO
Clinic/Center (Dental)
140 SYLVESTER RD
SAN DIEGO, CA 92106
San Diego County (619) 556-8200
MR. JAMES ALEXANDER MANNIS LCSW
Social Worker (Clinical)
140 SYLVESTER RD, SARP BLDG 500, RM 601
SAN DIEGO, CA 92106
San Diego County (619) 553-0535
JENNIFER LYNN MYERS
Military Health Care Provider (Independent Duty Corpsman)
140 SYLVESTER RD
SAN DIEGO, CA 92106
San Diego County (619) 553-0838
MR. DARWIN THOMAS IDC
Military Health Care Provider
140 SYLVESTER RD
SAN DIEGO, CA 92106
San Diego County (619) 553-5528

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 Michael Clark's NPI number?

The NPI number for Michael Clark is 1376751917. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Michael Clark located?

Michael Clark practices at 140 Sylvester Rd, San Diego, CA 92106. The listed phone number is (619) 553-8719.

What is Michael Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Michael Clark was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.