1. Home
  2. Directory
  3. California
  4. Valencia
  5. Internal Medicine
  6. NPI Profile

KERRY R CLARK M.D.
NPI 1093802365
Internal Medicine in Valencia, CA

Active since October 06, 2006PECOS Enrolled
25751 MCBEAN PKWY, STE 210, VALENCIA, CA 91355(661) 284-3100(661) 290-3310 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerry R Clark M.d. NPPES

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

KERRY R CLARK M.D. (NPI 1093802365) is an individual internal medicine provider in Valencia, California, licensed in California (G60150) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093802365
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKERRY R CLARKCredential: M.D.
Location Address25751 MCBEAN PKWY, STE 210Valencia, CA 91355-3701
Mailing Address23388 Mulholland Dr, Mailstop 62Woodland Hills, CA 91364-2733 · (818) 876-1636 · Fax (661) 290-3310
Phone(661) 284-3100
Fax(661) 290-3310
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJune 24, 2009
✔ NPI 1093802365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G60150
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

25751 MCBEAN PKWY, Valencia, CA 91355
Open in Google Maps ↗

Other Identifiers 7

Medicare ID-Type UnspecifiedWG60150JCA
Medicare ID-Type UnspecifiedWG60150KCA
Medicare ID-Type UnspecifiedWG60150LCA
Medicare ID-Type UnspecifiedWG60150ICA
Medicare UPINE48096
Medicare ID-Type UnspecifiedWG60150HCA
Other00G771370CA · Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry R Clark M.d. 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 91355 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers37 claims72 services$5.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers25 claims25 services$0.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

NEUROSURGICAL ASSOCIATES OF CALIFORNIA
Neurological Surgery
25751 MCBEAN PKWY, SUITE 305
VALENCIA, CA 91355
Los Angeles County (661) 367-9195
MISS PARTIKSHA DHANDA FNP-C
Nurse Practitioner (Family)
25751 MCBEAN PKWY
SANTA CLARITA, CA 91355
Los Angeles County (661) 755-2421
MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC
Internal Medicine
25751 MCBEAN PKWY, STE 210
VALENCIA, CA 91355
Los Angeles County (661) 284-3100
PARHAM YASHAR M.D.
Neurological Surgery
25751 MCBEAN PKWY, SUITE 305
VALENCIA, CA 91355
Los Angeles County (661) 799-2542
RACHEL LONG MD
Obstetrics & Gynecology
25751 MCBEAN PKWY, SUITE #220
VALENCIA, CA 91355
Los Angeles County (661) 290-3337
ROBERT W MAGID MAMFT INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
25751 MCBEAN PKWY, SUITE 310-1A
VALENCIA, CA 91355
Los Angeles County (661) 296-7759
MR. ROBERT WILLIAM MAGID MFT
Marriage & Family Therapist
25751 MCBEAN PKWY, SUITE 310-1A
VALENCIA, CA 91355
Los Angeles County (661) 296-7759
NAVID NAVIZADEH MD INC
Obstetrics & Gynecology (Reproductive Endocrinology)
25751 MCBEAN PKWY, 220
VALENCIA, CA 91355
Los Angeles County (661) 290-3337

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 Kerry Clark's NPI number?

The NPI number for Kerry Clark is 1093802365. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Kerry Clark located?

Kerry Clark practices at 25751 Mcbean Pkwy Ste 210, Valencia, CA 91355. The listed phone number is (661) 284-3100.

What is Kerry Clark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kerry Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kerry Clark was last updated on June 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.