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JASON ROBERT CLARK
NPI 1386529907
Student in an Organized Health Care Education/Training Program in Alameda, CA

Active since August 11, 2025
1080 MARINA VILLAGE PKWY, ALAMEDA, CA 94501(510) 418-5094 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jason Robert Clark NPPES

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

JASON ROBERT CLARK (NPI 1386529907) is an individual student in an organized health care education/training program in Alameda, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1386529907
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON ROBERT CLARK
Location Address1080 MARINA VILLAGE PKWYAlameda, CA 94501-6427
Mailing Address29166 Woodbine Ln, [email protected]Menifee, CA 92584-9258 · (951) 897-9507
Phone(510) 418-5094
Sole ProprietorYes
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1386529907 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.
1080 MARINA VILLAGE PKWY, Alameda, CA 94501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

LINDA EARNEST
Contractor
1080 MARINA VILLAGE PKWY, SUITE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
JAMES ELDON SECHRIST LMFT, QMHP
Counselor (Mental Health)
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (503) 504-4042
ALEXANDRA TYAN STRUTNER
Counselor (Mental Health)
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (510) 337-7950
JESSICA ROSE THUNQUEST
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (510) 337-7950
TELECARE MENTAL HEALTH SERVICES OF WASHINGTON, INC.
Community/Behavioral Health
1080 MARINA VILLAGE PKWY, SUITE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950
SERGIO REYNOSO
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (510) 418-5094
GLADYS YAZMIN GARCIA LOPEZ
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Alameda County (510) 418-5094
TELECARE MENTAL HEALTH SERVICES OF NORTH CAROLINA, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1080 MARINA VILLAGE PKWY, SUITE 100
ALAMEDA, CA 94501
Alameda County (510) 337-7950

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 Jason Clark's NPI number?

The NPI number for Jason Clark is 1386529907. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Where is Jason Clark located?

Jason Clark practices at 1080 Marina Village Pkwy, Alameda, CA 94501. The listed phone number is (510) 418-5094.

What is Jason 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 Jason Clark was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.