Robert Conrad Clark, DO
Physical Medicine & Rehabilitation in Concord, CA. Individual provider (NPI-1).
NPI number1184656142
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184656142
- Entity type
- Individual (NPI-1)
- Name
- Robert Conrad Clark
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Dec 1, 2012 to Dec 1, 2026
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 20A4900 | CA | Yes |
Practice location
3243 Clayton RdConcord, CA 94519
Phone 925-969-7530 · Fax 925-887-8600
Mailing address
3243 Clayton RdConcord, CA 94519
Phone 925-969-7530 · Fax 925-887-8600
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