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

Q: What is Clarke Lew Medical Corp's NPI number?

The NPI number for Clarke Lew Medical Corp is 1205444742. It was assigned to this organization in the NPPES registry on July 21, 2020. The provider is doing business as Illumination Foundation Medical Group.

Q: What is Clarke Lew Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since July 21, 2020CLIA 05D2210417 · Waiver

3535 W COMMONWEALTH AVE, FULLERTON, CA 92833(949) 273-0555 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Jan 27, 2021, Oct 8, 2020 and 1 more (4 updates tracked since 2020).

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About Clarke Lew Medical Corp NPPES

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

CLARKE LEW MEDICAL CORP (NPI 1205444742), doing business as Illumination Foundation Medical Group, is a healthcare organization registered as a community health in Fullerton, California and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 20, 2027, maintains a secondary practice location in Santa Ana, and lists Nicole St. Claire, Billing Consultant, as its authorized official.

NPPES Registry Identity

NPI1205444742

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameCLARKE LEW MEDICAL CORP

Location Address3535 W COMMONWEALTH AVEFullerton, CA 92833-2821

Mailing Address3535 W Commonwealth AveFullerton, CA 92833-2821 · (714) 402-2766

Phone(949) 273-0555

Organization SubpartNo

Authorized OfficialNicole St. ClaireBilling Consultant · (949) 633-5535

Enumeration DateJuly 21, 2020

Last NPPES UpdateJune 9, 20254 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1205444742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDentistTaxonomy 122300000X

Also ListedRegistered NurseTaxonomy 163W00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

3535 W COMMONWEALTH AVE, Fullerton, CA 92833

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Other Names 1

Doing Business AsIllumination Foundation Medical Group

Secondary Practice Location 1

Location 11815 Carnegie AveSanta Ana, CA 92705-5527 · Phone (949) 273-0555

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2210417

Clarke Lew Medical Corporation · Fullerton, CA

Active · expires Jan 20, 2027

CLIA Number05D2210417

Laboratory TypePhysician Office

Certificate Effective DateJanuary 21, 2025

Certificate Expiration DateJanuary 20, 2027

Laboratory DirectorClarke Lew

Laboratory Phone(714) 402-2766

Laboratory LocationClarke Lew Medical Corporation3535 W Commonwealth Ave, Fullerton, CA 92833

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MONIKA KUMARI BADYAL CFNP, DNP

Nurse Practitioner (Family)

3535 W COMMONWEALTH AVE
FULLERTON, CA 92833

Orange County (949) 243-7788

ILLUMINATION HEALTH AND HOME

Respite Care

3535 W COMMONWEALTH AVE
FULLERTON, CA 92833

Orange County (949) 273-0555

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 Clarke Lew Medical Corp's NPI number?

The NPI number for Clarke Lew Medical Corp is 1205444742. It was assigned to this organization in the NPPES registry on July 21, 2020. The provider is doing business as Illumination Foundation Medical Group.

Where is Clarke Lew Medical Corp located?

Clarke Lew Medical Corp is located at 3535 W Commonwealth Ave, Fullerton, CA 92833. The listed phone number is (949) 273-0555.

What is Clarke Lew Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Clarke Lew Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2210417) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clarke Lew Medical Corp was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.