Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Michael Jesus Clark, CHW

Individual provider Community Health Worker · NPI 1417744863

Gary Michael Jesus Clark, CHW is a Community Health Worker in Riverside, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

8151 Arlington Ave Ste U-V
Riverside, CA 92503-0436
Phone: (951) 688-3001
Fax: (951) 688-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13750 Hunters Run Ct, Eastvale, CA 92880-5555 — (951) 237-1978
  • 407 E Gilbert St Ste 1, San Bernardino, CA 92404-5325 — (098) 889-1136

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1417744863
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW
Sole proprietorYes
NPI enumeratedApril 21, 2025
Last updated in NPPESApril 21, 2025
Certification dateApril 16, 2025
Mailing address8151 Arlington Ave Ste U-V, Riverside, CA 92503-0436

Other providers in Riverside