SAMUEL J. CLARK, M.D., INC. – NPI #1124079793
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

SAMUEL J. CLARK, M.D., INC. is a provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1124079793 to SAMUEL J. CLARK, M.D., INC. on May 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

The NPI profile was last updated on Jun 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL J. CLARK, M.D., INC. below.

NPI Profile for
SAMUEL J. CLARK, M.D., INC.

NPI Number
1124079793
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAMUEL J. CLARK, M.D., INC.
Primary location
1940 EL CAJON BLVD
SAN DIEGO, CA 92104-1005
Phone: (619) 218-5688 Fax: (619) 795-3991
Mailing address
PO BOX 881609
SAN DIEGO, CA 92168-1609
Phone: (619) 794-2521 Fax: (619) 794-2523
Organization Subpart
No
Authorized Official
SAMUEL CLARK
PRESIDENT
Phone: (619) 218-5688
Updated
Certification Date
Jun 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.