Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theresa Ross Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1528104650

Dr. Theresa Ross Clark, MD is a Student in an Organized Health Care Education/Training Program in Vista, California. Licensed in California and Nebraska. Registered with an NPI since 2007.

Licensed in
CA, NE
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Vista, CA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A110524 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 24637 (NE)

Record details

NPI number1528104650
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESSeptember 5, 2012

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