Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY MICHAEL JESUS CLARK, CHW
Active Sole ProprietorGARY MICHAEL JESUS CLARK, CHW is a Community Health Worker healthcare provider located in RIVERSIDE, California. NPI 1417744863 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · RIVERSIDE, CA
Registration Details
- NPI Number
- 1417744863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2025 (1.2759361808945 yrs)
- Last Updated
- Apr 21, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
8151 ARLINGTON AVE STE U-VRIVERSIDE, CA, 925030436Browse CA providers · Browse ZIP 92503
- Phone
- 9516883001
- Fax
- 9516883022
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARTA GUERRERO | — | 1649391574 |
| COREY LYNN SPIGHT | — | 1366672404 |
| DELESHIA HORNE | MA | 1447563416 |
| CHRISTINE NAOMI FENTON | DPT | 1205186269 |
| JONI TERRONES | — | 1851711535 |
| ANTHONY ON | — | 1225434129 |
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.