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KHRISTIAN CLARK
NPI 1851055792
Rehabilitation Practitioner in Escondido, CA

Active since October 27, 2021
25143 JACK RABBIT ACRES, ESCONDIDO, CA 92026(760) 566-8648 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khristian Clark NPPES

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

KHRISTIAN CLARK (NPI 1851055792) is an individual rehabilitation practitioner in Escondido, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1851055792
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKHRISTIAN CLARK
Location Address25143 JACK RABBIT ACRESEscondido, CA 92026-1267
Mailing Address1738 S Tremont StOceanside, CA 92054-5309 · (760) 439-2800
Phone(760) 566-8648
Sole ProprietorNo
Enumeration DateOctober 27, 2021
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1851055792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X
25143 JACK RABBIT ACRES, Escondido, CA 92026
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Other Providers at the Same Location NPPES 7

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

MS. KELLY A O'BRYAN PH.D.
Psychologist (Clinical)
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 566-8648
HANNAH ROSKELLEY
Behavior Technician
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 566-8648
MR. TREVOR BRIAN WING I MA
Counselor (Mental Health)
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 566-8648
MS. MICAH ESPINOZA
Counselor (Mental Health)
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 566-8648
MARIKA AGLIPAY
Counselor (Mental Health)
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 566-8648
MR. RICHARD VAN GOETHEM
Registered Nurse (Psychiatric/Mental Health, Adult)
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 556-8648
STEPHANIE M KNITTER
Counselor (Mental Health)
25143 JACK RABBIT ACRES
ESCONDIDO, CA 92026
San Diego County (760) 566-8648

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 Khristian Clark's NPI number?

The NPI number for Khristian Clark is 1851055792. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Khristian Clark located?

Khristian Clark practices at 25143 Jack Rabbit Acres, Escondido, CA 92026. The listed phone number is (760) 566-8648.

What is Khristian Clark's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Khristian Clark was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.