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ANTHONY CLARK
NPI 1902211634
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Active since June 20, 2014
2424 RENDOVA RD, SAN DIEGO, CA 92155(619) 537-3941 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony Clark NPPES

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

ANTHONY CLARK (NPI 1902211634) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1902211634
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameANTHONY CLARK
Location Address2424 RENDOVA RDSan Diego, CA 92155-5041
Mailing Address2931 Gabrielson AveSan Diego, CA 92111-5814 · (760) 401-7807
Phone(619) 537-3941
Sole ProprietorNo
Enumeration DateJune 20, 2014
Last NPPES UpdateJune 24, 2014
✔ NPI 1902211634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
2424 RENDOVA RD, San Diego, CA 92155
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Other Providers at the Same Location NPPES 4

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

DR. ROBERT EDWARD OBRECHT PH.D., ABPP-CL
Clinical Neuropsychologist
2424 RENDOVA RD, BUILDING 156
SAN DIEGO, CA 92155
San Diego County (619) 437-5612
MR. CARLOS J GOMEZ IDC
Military Health Care Provider (Independent Duty Corpsman)
2424 RENDOVA RD, BLDG 156
SAN DIEGO, CA 92155
San Diego County (619) 735-2452
DR. AHMIK LYTTON JONES
Preventive Medicine (Undersea and Hyperbaric Medicine)
2424 RENDOVA RD
SAN DIEGO, CA 92155
San Diego County (619) 437-5612
ROBERT ALLEN HOOFFSTETTER IDC
Military Health Care Provider (Independent Duty Corpsman)
2424 RENDOVA RD, SUITE 156
SAN DIEGO, CA 92155
San Diego County (619) 537-3232

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 Anthony Clark's NPI number?

The NPI number for Anthony Clark is 1902211634. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Anthony Clark located?

Anthony Clark practices at 2424 Rendova Rd, San Diego, CA 92155. The listed phone number is (619) 537-3941.

What is Anthony Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Anthony Clark was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.