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Deactivated NPI 1780765164 Deactivated / Inactive NPI Female Practitioner

Selena Marie Clarke , LAC

Acupuncturist • Soquel, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Selena Clarke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2006
NPI Deactivation Date October 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Selena Clarke, LAC was a registered Acupuncturist practicing in Soquel, CA. Throughout an active medical career spanning 11 years, Selena Clarke provided care at the practice location at 3015 PORTER ST until profile deactivation on 2017-10-09.

Practice Location & Contact Primary Location

Practice Address

3015 Porter St

Soquel, CA 950732215

Telephone 8314643996
Fax 8314755147

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Soquel, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Soquel, CA (11031 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

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License CA AC 1490

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 09, 2017

Record deactivated on October 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3015 PORTER ST, SOQUEL, CA 950732215 (Tel: 8314643996)

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Updated Business Mailing Address July 08, 2007

Registered at 3015 PORTER ST, SOQUEL, CA 950732215 (Tel: 8314643996)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SELENA CLARKE, L.AC.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Acupuncturist (License #AC 1490 in CA)

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Initial NPI Registration & Enumeration October 18, 2006

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: 1780765164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2006
Last Update: July 08, 2007
Deactivation Date: October 09, 2017

Mailing Address

3015 Porter St

Soquel, CA 950732215

Phone: 8314643996

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.