EARL CLARK II MD
NPI 1104387174
Family Medicine in Richmond, CA
About Earl Clark Ii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EARL CLARK II MD (NPI 1104387174) is an individual family medicine provider in Richmond, California, licensed in California (A179809) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Earl Clark Ii Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Earl Clark's NPI number?
The NPI number for Earl Clark is 1104387174. It was assigned to this individual provider in the NPPES registry on March 30, 2019.
Where is Earl Clark located?
Earl Clark practices at 901 Nevin Ave, Richmond, CA 94801. The listed phone number is (510) 742-1000.
What is Earl Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Earl Clark enrolled in Medicare?
Yes. Earl Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Earl Clark was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Earl Clark II, MD · NPI 1104387174
Family Medicine physician in Richmond, California. Individual provider, active in the CMS NPPES registry since March 30, 2019.
## Identity
- **NPI:** 1104387174 (Entity type: Individual)
- **Enumerated:** March 30, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A179809 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 NEVIN AVE, Richmond, CA 94801-3143
- **Phone:** (510) 742-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104387174) · Data from the CMS NPPES public registry.