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

Isaiah Daniel Clark

Individual provider Clinical Exercise Physiologist · NPI 1861092447

Isaiah Daniel Clark is a Clinical Exercise Physiologist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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Practice location Address checks out

19510 Van Buren Blvd # F3-1045
Riverside, CA 92508-9457
Phone: (951) 215-6829
Fax: (951) 246-0734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Exercise Physiologist (primary) Taxonomy 224Y00000X · Licence 1066261 (CA)

Record details

NPI number1861092447
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 31, 2020
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address22376 N Mulligan Dr, Maricopa, AZ 85138-2353