Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON CLARK, M.D.
ActiveDR. SHANNON CLARK, M.D. is a Family Medicine healthcare provider located in SACRAMENTO, California. NPI 1295922912 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SACRAMENTO, CA
Registration Details
- NPI Number
- 1295922912
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2007 (18.906373410398 yrs)
- Last Updated
- Jul 17, 2012
- Licenses
-
A103021 (CA)A103021 (CA)A103121 (CA)
Practice Information
- Address
-
4860 Y STSUITE 2500SACRAMENTO, CA, 958172307Browse CA providers · Browse ZIP 95817
- Phone
- 9167348445
- Fax
- 9167346666
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Obstetrics
- Additional Specialty
- 2084B0040X
Other Family Medicine Providers in SACRAMENTO, CA
| Name | Credential | NPI |
|---|---|---|
| DONELLA JENKINS | M.D. | 1942203609 |
| CHRISTOPHER A. PRICE | M.D. | 1164426490 |
| ERIC TEPPER | M.D. | 1891798146 |
| DR. PIRA ROCHANAYON | M.D. | 1811992530 |
| KIMETTE MORBY MARTA | M.D. | 1912904228 |
| MR. DAVID L KOSH | M.D. | 1861490286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.