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DR. KILEY FAYE CLARK MD
NPI 1114676913
Emergency Medicine in Bakersfield, CA

Active since March 21, 2022PECOS EnrolledAccepts Medicare Assignment
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306(661) 326-2168(661) 326-2165 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kiley Faye Clark Md NPPES

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

DR. KILEY FAYE CLARK MD (NPI 1114676913) is an individual emergency medicine provider in Bakersfield, California, licensed in California (A197675) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114676913
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KILEY FAYE CLARKCredential: MD
Location Address1700 MOUNT VERNON AVEBakersfield, CA 93306-4018
Mailing Address1700 Mount Vernon AveBakersfield, CA 93306-4018 · (661) 326-2168 · Fax (661) 326-2165
Phone(661) 326-2168
Fax(661) 326-2165
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1114676913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A197675
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1700 MOUNT VERNON AVE, Bakersfield, CA 93306
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kiley Faye Clark 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.

PECOS PAC ID7810478419
PECOS Enrollment IDI20260223000064
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kiley Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America-California
2.1 mi
Emergency Medicine
420 34TH ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1164218533 (663) 327-4647
Permanente Medical Group Inc
216 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93306 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$104.09 typical visit price
range $19.34 – $145.64
Typical copayment $26.02 (range $4.83 – $36.41)
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.

RYAN ROLESON
Emergency Medicine
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2168
MRS. BRIEANNA COX
Social Worker
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
DR. POOJA VISHNU PATEL PHARM.D.
Pharmacist (Pharmacotherapy)
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2362
JUSTIN A WEST PA-C
Physician Assistant
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
MR. BRYAN ELROD CRNA
Nurse Anesthetist, Certified Registered
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
DR. MOUJIDIN ALADE ADEBAYO MD
Internal Medicine
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2202
KELLY MAE HOOD DO
Obstetrics & Gynecology
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2000
STEPHANIE ZAPATA MD
Psychiatry & Neurology (Psychiatry)
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Kern County (661) 326-2234

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 Kiley Clark's NPI number?

The NPI number for Kiley Clark is 1114676913. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Kiley Clark located?

Kiley Clark practices at 1700 Mount Vernon Ave, Bakersfield, CA 93306. The listed phone number is (661) 326-2168.

What is Kiley Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kiley Clark enrolled in Medicare?

Yes. Kiley 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.

Which organizations bill Medicare for Kiley Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiley Clark reassigns Medicare benefits to 2 organizations: Cep America-California (Bakersfield, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiley Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiley Clark was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.