Chad L Clark (NPI# 1023052545, PAC ID# 6901884592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1023052545 |
| PAC ID by PECOS | 6901884592 |
| Professional Enrollment ID | I20040709001264 |
| Full Name | Chad L Clark |
| Organization Legal Name | CULVER EMERGENCY MEDICAL GROUP |
| Address |
3828 Delmas Ter Culver City CA 90232-2713 |
| Phone Number | 3102024745 |
| Gender | M |
| Credential | MD |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1997 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0244378677 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| 050102 | PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3828 Delmas Ter, Culver City, CA 90232-2713 | 3102024745 | CULVER EMERGENCY MEDICAL GROUP |
| 3865 Jackson St, Riverside, CA 92503-3919 | 9513525666 | RIVERSIDE EMERGENCY PHYSICIANS MEDICAL GROUP |
| Organization Legal Name | CULVER EMERGENCY MEDICAL GROUP |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William K Fleming Iii | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Brett A Rosen | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Bernard T Mcnamara | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Aminatu J Shehu | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Joshua M Mechanic | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Stephen Carney | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Akash J Mehta | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Harold K Kim | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Yvonne Maywether | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Kim V Fouche | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Street Address |
3828 DELMAS TER |
| City | CULVER CITY |
| State | CA |
| Zip | 90232-2713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William K Fleming Iii | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Brett A Rosen | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| William D Power | Pathology | Memorial Pathology Medical Group Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Bernard T Mcnamara | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Aminatu J Shehu | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Joshua M Mechanic | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Stephen Carney | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Rajah P Gunawardana | Anesthesiology | New Line Anesthesia Services Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Marisol G Penichett | Pathology | Memorial Pathology Medical Group Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Nader M Soliman | Anesthesiology | Orange Coast Anesthesia Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Fahringer | Optometry | 3840 Main St, Culver City, CA 90232-2620 | |
| Praveen Gupta | Obstetrics/gynecology | 9435 Venice Blvd, Culver City, CA 90232-2623 | |
| Akash J Mehta | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Amir H Tahernia | General Surgery | 3828 Delmas Ter, Culver City, CA 90232-2713 | |
| Navid Farahmand | Anesthesiology | Orange Coast Anesthesia Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Harold K Kim | Emergency Medicine | Culver Emergency Medical Group | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Jonathan E Reitman | Internal Medicine | 3828 Delmas Ter, Culver City, CA 90232-2713 | |
| Anna I Lau | Psychologist, Clinical | Addis Medical Group A Medical Corporation | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Sonnia Aba Ahinasi | Nurse Practitioner | Addis Medical Group A Medical Corporation | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Daniel Xue | Anesthesiology | Orange Coast Anesthesia Inc | 3828 Delmas Ter, Culver City, CA 90232-2713 |
| Find all physicians in zip 90232 | |||
| City | CULVER CITY |
| Zip Code | 90232 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CULVER CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Chad L 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.