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DR. PAMELA CLARK M.D.
NPI 1154634483
Pediatrics in Pasadena, CA

Active since July 15, 2010PECOS Enrolled
800 FAIRMONT AVE, PASADENA, CA 91105(626) 449-8440(626) 449-8999 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pamela Clark M.d. NPPES

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

DR. PAMELA CLARK M.D. (NPI 1154634483) is an individual pediatrics provider in Pasadena, California, licensed in California (A127834) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1154634483
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PAMELA CLARKCredential: M.D.
Location Address800 FAIRMONT AVEPasadena, CA 91105-3154
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(626) 449-8440
Fax(626) 449-8999
Sole ProprietorYes
Enumeration DateJuly 15, 2010
Last NPPES UpdateMay 24, 2023
NPPES CertifiedMay 16, 2023
✔ NPI 1154634483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A127834✔ Licensed in TX · BP10037144
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
800 FAIRMONT AVE, Pasadena, CA 91105
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Secondary Practice Location 1

Location 14650 W Sunset Blvd, MS #76Los Angeles, CA 90027-6062 · Phone (323) 361-2113 · Fax (323) 361-8003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pamela 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.

Medicare Billing Reassignments

2

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

Children's Hospital Los Angeles Medical Group, Inc.
8.3 mi
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
NPI 1265530653 (323) 361-2337
The Regents Of The University Of California
17 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

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 91105 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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

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

DR. DAVID JOHN SCHNEIDER MD
Pediatrics
800 FAIRMONT AVE
PASADENA, CA 91105
Los Angeles County (626) 449-8440

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 Pamela Clark's NPI number?

The NPI number for Pamela Clark is 1154634483. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Pamela Clark located?

Pamela Clark practices at 800 Fairmont Ave, Pasadena, CA 91105. The listed phone number is (626) 449-8440.

What is Pamela Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pamela Clark enrolled in Medicare?

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

Which organizations bill Medicare for Pamela Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Clark reassigns Medicare benefits to 2 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and The Regents Of The University Of California (Los Angeles, 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 Pamela 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 Pamela Clark was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.