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MRS. ANN MARIE MONICA CLARK
NPI 1962945675
Assisted Living Facility - Assisted Living, Mental Illness in San Bernardino, CA

Active since November 29, 2016
3524 ACACIA AVENUE, SAN BERNARDINO, CA 92405(909) 352-6701 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Ann Marie Monica Clark NPPES

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

MRS. ANN MARIE MONICA CLARK (NPI 1962945675) is an individual assisted living, mental illness provider in San Bernardino, California and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1962945675
Entity TypeIndividualFemale
Primary Taxonomy3104A0625X
Provider Legal NameMRS. ANN MARIE MONICA CLARK
Location Address3524 ACACIA AVENUESan Bernardino, CA 92405
Mailing Address1651 N. Riverside Ave, #124Rialto, CA 92376 · (909) 528-7061
Phone(909) 352-6701
Sole ProprietorYes
Enumeration DateNovember 29, 2016
✔ NPI 1962945675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
3524 ACACIA AVENUE, San Bernardino, CA 92405
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Other Names 1

Former Name (1)Mrs. Ann Marie Monica Loring

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 Ann Marie Clark's NPI number?

The NPI number for Ann Marie Clark is 1962945675. It was assigned to this individual provider in the NPPES registry on November 29, 2016. The provider is also known as Mrs. Ann Marie Monica Loring.

Where is Ann Marie Clark located?

Ann Marie Clark practices at 3524 Acacia Avenue, San Bernardino, CA 92405. The listed phone number is (909) 352-6701.

What is Ann Marie Clark's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Ann Marie Clark was last updated on November 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.