Active NPI 1861092447 Individual Practitioner Male Practitioner

Isaiah Daniel Clark

Clinical Exercise Physiologist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Isaiah Clark is a registered healthcare professional specializing in Clinical Exercise Physiologist in Riverside, CA. Practice services are available at 19510 VAN BUREN BLVD # F3-1045 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

19510 Van Buren Blvd # F3-1045

Riverside, CA 925089457

Telephone 9512156829

Fax 9512460734

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinical Exercise Physiologist in Riverside, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Riverside, CA (53 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

CMS Verified: 2025-06-03

Clinical Exercise Physiologist Primary Specialty

NUCC Taxonomy Code: 224Y00000X

State License CA 1066261

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID American College Of Sports Medicine

872340 (CA)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Business Mailing Address June 03, 2025

Registered at 22376 N MULLIGAN DR, MARICOPA, AZ 851382353

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2025

Clinical Exercise Physiologist (License #1066261 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2021

Health Educator

📍

Updated Practice Location January 22, 2021

Registered at 19510 VAN BUREN BLVD # F3-1045, RIVERSIDE, CA 925089457 (Tel: 9512156829)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2020

Rehabilitation Practitioner (License #1064265 in CA)

✅

NPI Profile Active October 31, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2020

Registered at 33600 MAPLETON AVE # D2018, MURRIETA, CA 925634434 (Tel: 9512156829)

📍

Updated Business Mailing Address October 31, 2020

Registered at 33600 MAPLETON AVE # D2018, MURRIETA, CA 925634434

👤

Provider Name / Credentials Updated October 31, 2020

Recorded as ISAIAH CLARK

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2020

Rehabilitation Practitioner

🟢

Initial NPI Registration & Enumeration October 31, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1861092447

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 31, 2020

Last Update: June 03, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

22376 N Mulligan Dr

Maricopa, AZ 851382353

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.