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Active NPI 1255478111 Individual Practitioner Male Practitioner

Michael Anthony Clark , RN

Registered Nurse - General Practice • Mather, CA

Professional Overview & Biography Verified Profile Summary

Michael Clark, RN is a registered healthcare professional specializing in Registered Nurse - General Practice in Mather, CA. Practice services are available at 10535 HOSPITAL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10535 Hospital Way

Mather, CA 956554200

Telephone 9163665410
Associated Practice Facility / Clinic
🏢 Va Mather Facility NPI 1437136066

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Mather, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Mather, CA (473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License CA 741297

Definition to come...

Registered Nurse - Case Management

NUCC Taxonomy Code: 163WC0400X

State License OH RN 199634

Definition to come...

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License CA 741297

Definition to come...

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License CA 741297

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1124092358

Doctor of Medicine (M.D.)

Dr. David Bell , MD

Anesthesiology

NPI 1679559447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 29, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2012

Registered at 10535 HOSPITAL WAY, MATHER, CA 956554200 (Tel: 9163665410)

📍
Updated Business Mailing Address June 29, 2012

Registered at 1780 CREEKSIDE DR, APT: 2424, FOLSOM, CA 956303838 (Tel: 5136385232)

👤
Provider Name / Credentials Updated June 29, 2012

Recorded as MICHAEL CLARK, R.N.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2012

Registered Nurse (License #741297 in CA)

🟢
Initial NPI Registration & Enumeration January 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255478111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: June 29, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1780 Creekside Dr, Apt: 2424

Folsom, CA 956303838

Phone: 5136385232

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.