CLARK LOMBOY NP
NPI 1033507009
Nurse Practitioner - Family in Mcclellan, CA

Q: What is Clark Lomboy's NPI number?

The NPI number for Clark Lomboy is 1033507009. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Q: What is Clark Lomboy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Lomboy was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2014PECOS Enrolled

5342 DUDLEY BLVD, MCCLELLAN, CA 95652(916) 561-7793(916) 561-7566 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Aug 19, 2020, Jun 15, 2018 and 2 more (5 updates tracked since 2017).

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About Clark Lomboy Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK LOMBOY NP (NPI 1033507009) is an individual family provider in Mcclellan, California, licensed in California (95006613) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033507009

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCLARK LOMBOYCredential: NP

Location Address5342 DUDLEY BLVDMcclellan, CA 95652-1012

Mailing Address10601 Bear Hollow Drive, Box 31Rancho Cordova, CA 95670 · (916) 854-3879

Phone(916) 561-7793

Fax(916) 561-7566

Sole ProprietorNo

Enumeration DateDecember 29, 2014

Last NPPES UpdateMay 13, 20255 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1033507009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95006613

Also ListedRegistered NurseTaxonomy 163W00000X · License 789909 (CA)

5342 DUDLEY BLVD, Mcclellan, CA 95652

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Lomboy Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95652 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

USCG AIRSTA SACRAMENTO

Military Hospital (Military General Acute Care Hospital)

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (916) 561-7568

MRS. MELLISA MARIE WILSON LCSW

Social Worker

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (916) 561-7708

MISS VALERIE CHRISTIAN FNP

Nurse Practitioner (Family)

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (916) 561-7511

MRS. NICHOLE MARIA HIGHTOWER M.S.

Audiologist

5342 DUDLEY BLVD, MCCLELALN PARK VAOPC (AUDIOLOGY 126)
MCCLELLAN, CA 95652

Sacramento County (916) 561-7470

RINO DIZON DO

Family Medicine

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (916) 561-7560

MAE RUTH DOCTOR NP

Nurse Practitioner (Family)

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (916) 561-7400

DR. SCOTT ALAN GALE M.D.

Obstetrics & Gynecology

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (916) 561-7480

JONATHAN A SOSNOV M.D.

Internal Medicine

5342 DUDLEY BLVD
MCCLELLAN, CA 95652

Sacramento County (707) 423-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Lomboy's NPI number?

The NPI number for Clark Lomboy is 1033507009. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Clark Lomboy located?

Clark Lomboy practices at 5342 Dudley Blvd, Mcclellan, CA 95652. The listed phone number is (916) 561-7793.

What is Clark Lomboy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clark Lomboy enrolled in Medicare?

Yes. Clark Lomboy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clark Lomboy was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.