CLARKE LEW MEDICAL CORP
NPI 1205444742
Clinic/Center - Community Health in Fullerton, CA

NPI Status: Active since July 21, 2020

Contact Information

3535 W COMMONWEALTH AVE
FULLERTON, CA
ZIP 92833
Phone: (949) 273-0555

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  • Organization
  • Clinic/Center
  • Community Health
  • CLIA Number: 05D2210417
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-20-2027

About CLARKE LEW MEDICAL CORP

This page provides the complete NPI Profile along with additional information for Clarke Lew Medical Corp, a primary care provider established in Fullerton, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1205444742 assigned on July 2020. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated June 2025. Clarke Lew Medical Corp operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Nicole St. Claire (Billing Consultant)

NPI
1205444742
Provider Legal Name
CLARKE LEW MEDICAL CORP
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
3535 W COMMONWEALTH AVE FULLERTON, CA 92833
Location Phone
(949) 273-0555
Mailing Address
3535 W COMMONWEALTH AVE FULLERTON, CA 92833
Mailing Phone
(714) 402-2766
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2020
Last Update Date
06-09-2025
Code Navigator

A primary care provider (PCP) like Clarke Lew Medical Corp sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 1815 Carnegie Ave
    Santa Ana, CA 92705
    (949) 273-0555

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3104100000XBehavioral Health & Social Service Providers

Social Worker

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
5122300000XDental Providers

Dentist

 
6163W00000XNursing Service Providers

Registered Nurse

 
7207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
8207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
92084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 
10261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
11363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
12363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE ST. CLAIRE

Authorized Official Title
BILLING CONSULTANT
Authorized Official Phone
(949) 633-5535

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2210417
Facility Type
Physician Office
Certificate Effective Date
January 21, 2025
Certificate Expiration Date
January 20, 2027
Laboratory Director
CLARKE LEW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clarke Lew Medical Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CLARKE LEW MEDICAL CORP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205444742
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
220584878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 8 + 4 + 8 + 7 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1205444742 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

MR. ARIES JOJO L CABUANG II AMFT

Marriage & Family Therapist

3535 W COMMONWEALTH AVE
FULLERTON, CA
ZIP 92833

(949) 243-7788

MONIKA KUMARI BADYAL CFNP, DNP

Nurse Practitioner

(Family)

3535 W COMMONWEALTH AVE
FULLERTON, CA
ZIP 92833

(949) 243-7788

ILLUMINATION FOUNDATION

Respite Care

3535 W COMMONWEALTH AVE
FULLERTON, CA
ZIP 92833

(949) 273-0555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205444742, enumerated as an "organization" on July 21, 2020.

The provider is located at 3535 W COMMONWEALTH AVE FULLERTON, CA 92833 and the phone number is (949) 273-0555.

Clinic/Center with taxonomy code 261QC1500X and a focus in Community Health.