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JOHAN ALEXANDER CLARKE MD
NPI 1154881696
Family Medicine in Los Angeles, CA

Active since March 21, 2019PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(323) 783-7123 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2022, Nov 29, 2021, Mar 21, 2019 (3 updates tracked since 2019).

About Johan Alexander Clarke Md NPPES

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

JOHAN ALEXANDER CLARKE MD (NPI 1154881696) is an individual family medicine provider in Los Angeles, California, licensed in California (A179671) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154881696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHAN ALEXANDER CLARKECredential: MD
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address1300 N Mission RdLos Angeles, CA 90033-1021
Phone(323) 783-7123
Sole ProprietorNo
Enumeration DateMarch 21, 2019
Last NPPES UpdateSeptember 19, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1154881696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A179671
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027
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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 (PECOS)

Johan Alexander Clarke Md 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 Reassignment

Medicare enrollment records show Johan Clarke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
Same address
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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 90027 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 20

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

GABRIELLE BROWN M.D.
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. ERIC RAY WONG DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
SHAINA GANJIAN MD
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
JAMES ZHOU
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (916) 686-7300
DR. BANSARI ASHOKBHAI PATEL DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
ISABEL OJEDA
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. HONG THI THANH DANG M.D.
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. KRISTOPHER ROBERT WARING MD
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1430

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 Johan Clarke's NPI number?

The NPI number for Johan Clarke is 1154881696. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Johan Clarke located?

Johan Clarke practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (323) 783-7123.

What is Johan Clarke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Johan Clarke enrolled in Medicare?

Yes. Johan Clarke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johan Clarke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johan Clarke reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Johan Clarke'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 Johan Clarke was last updated on September 19, 2022. 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.