David A Clark (NPI# 1619952421, PAC ID# 3274538590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1619952421 |
| PAC ID by PECOS | 3274538590 |
| Professional Enrollment ID | I20060920000250 |
| Full Name | David A Clark |
| Address |
220 N Vanderhurst Ave King City CA 93930-3123 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1965 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050145 | COMMUNITY HOSPITAL OF THE MONTEREY PENINSULA |
| 050189 | GEORGE L MEE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 220 N Vanderhurst Ave, King City, CA 93930-3123 | ||
| 880 Cass St, Suite 108, Monterey, CA 93940-2948 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 95% | |
| MIPS_EC_047_overall | Care Plan | 84% |
| Street Address |
220 N VANDERHURST AVE |
| City | KING CITY |
| State | CA |
| Zip | 93930-3123 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto Tongson | Internal Medicine | 212 Bassett St, King City, CA 93930-2943 | |
| Robert Mackin | Optometry | 406 Canal St, King City, CA 93930-3412 | |
| Sean H Oldroyd | Emergency Medicine | Cep America - California | 300 Canal St, King City, CA 93930-3431 |
| Joshua H Tamayo-sarver | Emergency Medicine | Cep America - California | 300 Canal St, King City, CA 93930-3431 |
| Thomas W Unruh | General Surgery | Southern Monterey County Memorial Hospital | 300 Canal St, King City, CA 93930-3431 |
| Adam Jacob Colton | Family Medicine | Rural Physicians Group PC | 300 Canal St, King City, CA 93930-3431 |
| Samuel H Slishman | Emergency Medicine | Premier Emergency Physicians of California A Medical Corporation | 300 Canal St, King City, CA 93930-3431 |
| Kelley Gardner | Certified Registered Nurse Anesthetist (crna) | Southern Monterey County Memorial Hospital | 300 Canal St, King City, CA 93930-3431 |
| Nguyen Pham | Internal Medicine | Rural Physicians Group PC | 300 Canal St, King City, CA 93930-3431 |
| Faraaz Osmani | Internal Medicine | Rural Physicians Group PC | 300 Canal St, King City, CA 93930-3431 |
| Find all physicians in zip 93930 | |||
| City | KING CITY |
| Zip Code | 93930 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | KING CITY + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on David A Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.