TIMOTHY H CLARK ATC
NPI 1518413228
Specialist/Technologist - Athletic Trainer in Riverside, CA

NPI Status: Active since September 01, 2016

Contact Information

8432 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504
Phone: (951) 552-8512

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  • Individual
  • Male
  • Specialist/Technologist
  • Athletic Trainer

About TIMOTHY CLARK

This page provides the complete NPI Profile along with additional information for Timothy Clark, a provider established in Riverside, California with a medical specialization in Specialist/technologist, focusing in athletic trainer . The healthcare provider is registered in the NPI registry with number 1518413228 assigned on September 2016. The practitioner's primary taxonomy code is 2255A2300X. The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1518413228
Provider Name
TIMOTHY H CLARK ATC
Gender
Male
Entity Type
Individual
Location Address
8432 MAGNOLIA AVE RIVERSIDE, CA 92504
Location Phone
(951) 552-8512
Mailing Address
243 MONTANA DEL LAGO DRIVE RANCHO SANTA MARGARITA, CA 92688
Mailing Phone
(714) 883-6133
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
09-01-2016
Last Update Date
09-01-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist Athletic Trainer

Taxonomy Code
2255A2300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
930906OTHER (01)NATA MEMBER NUMBER
099302424OTHER (01)NATA-BOC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518413228
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252881624
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 8 + 1 + 6 + 2 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1518413228 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215130828MR. RUSSELL THOMAS BAKER JR. MS, MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(239) 560-7854
1770808032 RUTH Y. OLSON LMFT
Individual
Marriage & Family Therapist8432 MAGNOLIA AVE BOX 1152
RIVERSIDE, CA 92504
(951) 689-1120
1396280616DR. CANDACE P. VICKERS PH.D., CCC-SLP
Individual
Speech-Language Pathologist8432 MAGNOLIA AVE CALIFORNIA BAPTIST UNIVERSITY
RIVERSIDE, CA 92504
(951) 552-8129
1629593660 BROOKE SUTTON ATC
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 526-8480
1427566546MISS NICOLE ELAINE WARREN
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(877) 228-3615
1346758463 TAYLER JASMINE CASTRO
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 689-5771
1336644665 NICHOLAS CECCARELLI ATC
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(877) 228-3615
1003311333 ALEXA LAMBERT
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(619) 334-5985
1588128904 REBECCA AUSTEN BROWN
Individual
Student in an Organized Health Care Education/Training Program8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(415) 488-7531
1871093724 ALEXES FREEMAN
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(310) 486-1322
1184275208 MICHELE RENE VASQUEZ
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 343-4317
1578114625 COLLIN GUSTAFSON
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(253) 722-8751
1821649971 KATIE BUHNERKEMPE ATC
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 689-5771
1518462688 ANDREA FRANCESCA MARCIAL MS, ATC, NREMT
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(877) 815-8287
1578198073 JASMIN GUTIERREZ
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 689-5771
1619503570 CHRISTOPHER ALEXANDER SCHULTE
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 906-1324
1528519592DR. NICOLE MACDONALD ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE HEALTH SCIENCE CAMPUS F83
RIVERSIDE, CA 92504
(951) 343-4379
1376041657 KAYLA YANKE ATC
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(310) 570-8257
1932733607 KELVIN CHIU
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(626) 632-4504
1134647126 CHARLES JASON RAMOS MS, ATC, CSCS
Individual
Specialist/Technologist (Athletic Trainer)8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
(951) 343-4816

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518413228, enumerated in the NPI registry as an "individual" on September 01, 2016

The provider is located at 8432 Magnolia Ave Riverside, Ca 92504 and the phone number is (951) 552-8512

The provider's speciality is Specialist/Technologist with taxonomy code 2255A2300X with a focus in Athletic Trainer

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 01, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.