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ISAIAH DANIEL CLARK
NPI 1861092447
Clinical Exercise Physiologist in Riverside, CA

Active since October 31, 2020
19510 VAN BUREN BLVD # F3-1045, RIVERSIDE, CA 92508(951) 215-6829(951) 246-0734 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Aug 2, 2021, Jan 22, 2021 and 2 more (5 updates tracked since 2020).

About Isaiah Daniel Clark NPPES

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

ISAIAH DANIEL CLARK (NPI 1861092447) is an individual clinical exercise physiologist provider in Riverside, California, licensed in California (1066261) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1861092447
Entity TypeIndividualMale
Primary Taxonomy224Y00000X
Provider Legal NameISAIAH DANIEL CLARK
Location Address19510 VAN BUREN BLVD # F3-1045Riverside, CA 92508-9457
Mailing Address22376 N Mulligan DrMaricopa, AZ 85138-2353
Phone(951) 215-6829
Fax(951) 246-0734
Sole ProprietorYes
Enumeration DateOctober 31, 2020
Last NPPES UpdateJune 3, 20255 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1861092447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
License✔ Licensed in CA · 1066261
Definition
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
19510 VAN BUREN BLVD # F3-1045, Riverside, CA 92508
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Other Identifiers 1

Other872340CA · American College Of Sports Medicine

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

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 Isaiah Clark's NPI number?

The NPI number for Isaiah Clark is 1861092447. It was assigned to this individual provider in the NPPES registry on October 31, 2020.

Where is Isaiah Clark located?

Isaiah Clark practices at 19510 Van Buren Blvd # F3-1045, Riverside, CA 92508. The listed phone number is (951) 215-6829.

What is Isaiah Clark's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Isaiah Clark was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.