IndividualActive
Robert Clark, M.D.
NPI 1174511489 · Family Medicine Physician · San Pablo, CA
Provider details
- NPI number
- 1174511489
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- C22168 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2089 Vale Rd
Suite 17
San Pablo, CA 94806-3847
Phone: (510) 237-2802
Fax: (916) 239-3612
Street-level locationGet directions
Mailing address
2160 Appian Way
Pinole, CA 94564-2524
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2008-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.