GUISELLE CLARK M.D.
NPI 1124254024
Hospitalist in Santa Monica, CA

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment
1225 15TH ST, A454, SANTA MONICA, CA 90404(310) 319-4598(310) 319-4908 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Guiselle Clark M.d. NPPES

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

GUISELLE CLARK M.D. (NPI 1124254024) is an individual hospitalist provider in Santa Monica, California, licensed in California (A114924) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2009).

NPPES Registry Identity

NPI1124254024
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameGUISELLE CLARKCredential: M.D.
Location Address1225 15TH ST, A454Santa Monica, CA 90404-1101
Mailing Address757 Westwood Plz, Suite 7501Los Angeles, CA 90095-8358 · (310) 267-9643 · Fax (310) 267-3840
Fax(310) 319-4908
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2009
Enumeration DateJune 5, 2009
Last NPPES UpdateNovember 30, 2021
NPI 1124254024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A114924
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A114924 (CA)
1225 15TH ST, Santa Monica, CA 90404

Other Identifiers 2

Other1124254024CA · Ccs Paneled
Medicaid1124254024CA

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

Guiselle Clark M.d. 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 ID7315100377
PECOS Enrollment IDI20120531000538
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 90404 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.

Other Providers at the Same Location NPPES 9

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

Internal Medicine
1225 15TH ST, 910
SANTA MONICA, CA 90404
Internal Medicine
1225 15TH ST, RM 910
SANTA MONICA, CA 90404
Hospitalist
1225 15TH ST, # 2304
SANTA MONICA, CA 90404
Internal Medicine
1225 15TH ST, A454
SANTA MONICA, CA 90404
Hospitalist
1225 15TH ST, ROOM 910
SANTA MONICA, CA 90404
Internal Medicine
1225 15TH ST, 910
SANTA MONICA, CA 90404
Hospitalist
1225 15TH ST, 910
SANTA MONICA, CA 90404
Registered Nurse
1225 15TH ST
SANTA MONICA, CA 90404

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 Guiselle Clark's NPI number?

The NPI number for Guiselle Clark is 1124254024. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Where is Guiselle Clark located?

Guiselle Clark practices at 1225 15th St A454, Santa Monica, CA 90404. The listed phone number is (310) 319-4598.

What is Guiselle Clark's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Guiselle Clark enrolled in Medicare?

Yes. Guiselle 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 Guiselle Clark was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.