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

Jordan Michael Clark, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356280325

Jordan Michael Clark, DO is a Student in an Organized Health Care Education/Training Program in Roseville, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone: (916) 292-0294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356280325
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address1 Medical Plaza Dr, Roseville, CA 95661-3037

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