Individual provider

Donna Clark, GNP

Gerontology Nurse Practitioner Registered Nurse Diabetes Educator Registered Nurse

Donna Clark, GNP is a Gerontology Nurse Practitioner in Vista, CA, registered under NPI 1104832617. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 130 CEDAR RD STE 200, Vista, CA 92083. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

130 CEDAR RD STE 200, Vista, CA 92083 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6328 CA Gerontology Nurse Practitioner primary
RN485608 CA Registered Nurse
RN485608 CA Diabetes Educator Registered Nurse
RN485608 CA Gerontology Registered Nurse

This provider holds licence 6328 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LG0600X Gerontology Nurse Practitioner Gerontology 6328 CA primary
163W00000X Registered Nurse RN485608 CA
163WD0400X Diabetes Educator Registered Nurse Diabetes Educator RN485608 CA
163WG0600X Gerontology Registered Nurse Gerontology RN485608 CA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104832617 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 1, 2006
Last updatedAug 2, 2013
StatusActive
Sole proprietorNo
CredentialGNP
Practice address 130 CEDAR RD STE 200
Vista, CA 92083
(760) 806-5620
Fax (760) 806-5639
Mailing address 10170 SORRENTO VALLEY RD
San Diego, CA 92121
Other identifiers RN485608 · Medicaid (CA)
This record was last updated on Aug 2, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104832617 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 3 2 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 3 4 6 2

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104832617?
NPI 1104832617 is the National Provider Identifier assigned to Donna Clark, GNP in Vista, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gerontology cover?
Definition to come...
How do I contact Donna Clark, GNP?
The phone number on file with NPPES is (760) 806-5620, last updated Aug 2, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104832617 a valid number?
Yes. 1104832617 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.