Michael Anthony Clark, R.N.
NPI 1255478111ActiveIndividual· Registered Nurse, General Practice· Mather, CA
Registered Nurse, General Practice (R.N.) in Mather, California, licensed in CA and OH, with an NPI issued in January 2007.
Overview
| NPI | 1255478111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.N. |
| Sole proprietor | No |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Jun 29, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 741297 | CA |
| Registered Nurse, Case Management | 163WC0400X | RN 199634 | OH |
| Registered Nurse, Emergency | 163WE0003X | 741297 | CA |
| Registered Nurse, Critical Care Medicine | 163WC0200X | 741297 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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