MR. LARRY DEAN CLARK III
NPI 1578263117
Contractor in Sacramento, CA

Active since March 02, 2023
811 GRAND AVE, SACRAMENTO, CA 95838(916) 922-9868 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Larry Dean Clark Iii NPPES

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

MR. LARRY DEAN CLARK III (NPI 1578263117) is an individual contractor provider in Sacramento, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1578263117
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMR. LARRY DEAN CLARK III
Location Address811 GRAND AVESacramento, CA 95838-3466
Mailing Address811 Grand AveSacramento, CA 95838-3466
Sole ProprietorYes
Enumeration DateMarch 2, 2023
NPPES CertifiedMarch 2, 2023
NPI 1578263117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

811 GRAND AVE, Sacramento, CA 95838

Other Identifiers 1

Medicaid0CA

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.

Optometrist
811 GRAND AVE, STE B
SACRAMENTO, CA 95838
Pharmacy
811 GRAND AVE, SUITE A2
SACRAMENTO, CA 95838
Social Worker
811 GRAND AVE
SACRAMENTO, CA 95838
Social Worker (Clinical)
811 GRAND AVE
SACRAMENTO, CA 95838
Social Worker
811 GRAND AVE, SUITE #D
SACRAMENTO, CA 95838
Social Worker (Clinical)
811 GRAND AVE, SUITE D
SACRAMENTO, CA 95838
Social Worker
811 GRAND AVE, SUITE D
SACRAMENTO, CA 95838
Case Manager/Care Coordinator
811 GRAND AVE, SUITE D
SACRAMENTO, CA 95838

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578263117, enumerated as an "individual" on March 02, 2023.

The provider is located at 811 GRAND AVE SACRAMENTO, CA 95838 and the phone number is (916) 922-9868.

Contractor with taxonomy code 171W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.