DR. GARY C. CLARK M.D.
NPI 1518042274
Surgery in San Diego, CA

Q: What is Gary Clark's NPI number?

The NPI number for Gary Clark is 1518042274. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Gary Clark's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Clark was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 25, 2006

7901 FROST ST, SHARP MEMORIAL HOSPITAL, SAN DIEGO, CA 92123(858) 939-3525 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Gary C. Clark M.d. NPPES

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

DR. GARY C. CLARK M.D. (NPI 1518042274) is an individual surgery provider in San Diego, California, licensed in California (G50138) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1518042274

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. GARY C. CLARKCredential: M.D.

Location Address7901 FROST ST, SHARP MEMORIAL HOSPITALSan Diego, CA 92123-2701

Mailing Address2956 Mcgraw StSan Diego, CA 92117-6045 · (510) 610-2721

Phone(858) 939-3525

Sole ProprietorYes

Enumeration DateOctober 25, 2006

Last NPPES UpdateOctober 17, 2012

✔ NPI 1518042274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · G50138

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

7901 FROST ST, San Diego, CA 92123

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Other Identifiers 3

Medicare UPINF16578

Medicare ID-Type Unspecified00G501380

Medicaid00G501380CA

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.

JOANNA PARK

Pharmacist