BLISS W. CLARK, II M.D. – NPI #1447258272
Orthopaedic Surgery

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

BLISS CLARK, II is an orthopaedic surgeon located in MANTECA, CA. NPPES has assigned the NPI number 1447258272 to BLISS CLARK, II on July 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine

The NPI profile was previously updated about 15 years ago on Nov 05, 2011. 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 BLISS CLARK, II below.

NPI Profile for
BLISS W. CLARK, II

NPI Number
1447258272
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BLISS W. CLARK, II
Credentials
M.D.
Primary location
1262 E NORTH ST
MANTECA, CA 95336-4962
Phone: (209) 214-7053 Fax: (209) 523-0764
Mailing address
1541 FLORIDA AVE
SUITE 200
MODESTO, CA 95350-4423
Phone: (209) 214-7053 Fax: (209) 523-0764
Sole Proprietor
No
Updated
Identifiers

Identifiers for BLISS CLARK, II

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX033099502
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
207XX0005X
- Orthopaedic Surgery / Sports Medicine (Primary)
CA G59282

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.