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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA ROSE LARK
NPI 1619886413
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since September 05, 2026
200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-5221 Get Directions Write a Review

NPPES record added: September 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jessica Rose Lark NPPES

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

JESSICA ROSE LARK (NPI 1619886413) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP95041196) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1619886413
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA ROSE LARK
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing Address4986 Santa Cruz AveSan Diego, CA 92107-3311 · (516) 776-7607
Phone(619) 543-5221
Sole ProprietorNo
Enumeration DateSeptember 5, 2026
NPPES CertifiedSeptember 5, 2026
✔ NPI 1619886413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95041196
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

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.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189
JAMES HAMILTON JR. PA-C
Physician Assistant (Surgical)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 657-8200

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 Jessica Lark's NPI number?

The NPI number for Jessica Lark is 1619886413. It was assigned to this individual provider in the NPPES registry on September 5, 2026.

Where is Jessica Lark located?

Jessica Lark practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (619) 543-5221.

What is Jessica Lark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jessica Lark was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.