PAULA ANN CLARK CRNA
NPI 1215110580
Nurse Anesthetist, Certified Registered in Harbor City, CA
About Paula Ann Clark Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULA ANN CLARK CRNA (NPI 1215110580) is an individual nurse anesthetist, certified registered in Harbor City, California, licensed in California (3548) and active in the NPI registry since December 2007. She maintains a secondary practice location in Torrance and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Paula Ann Clark Crna 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.
Medicare Billing Reassignments
4Medicare enrollment records show Paula Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Torrance, CA 90505
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Lynwood, CA 90262
- Reassigned Medicare billing, California enrollment
- 83 clinicians in this Medicare group
Palmdale, CA 93551
- Reassigned Medicare billing, California enrollment
- 22 clinicians in this Medicare group
Salinas, CA 93906
- Reassigned Medicare billing, California enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARBOR CITY, CA 90710
HARBOR CITY, CA 90710
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 Paula Clark's NPI number?
The NPI number for Paula Clark is 1215110580. It was assigned to this individual provider in the NPPES registry on December 10, 2007.
Where is Paula Clark located?
Paula Clark practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 920-9459.
What is Paula Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Paula Clark enrolled in Medicare?
Yes. Paula 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.
Which organizations bill Medicare for Paula Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paula Clark reassigns Medicare benefits to 4 organizations: Digestive Care Consultants (Torrance, CA), Landmark Anesthesia Medical Group (Lynwood, CA), Palmdale Anesthesia, Inc (Palmdale, CA) and Monterey Anesthesia Professionals (Salinas, 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 Paula 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 Paula Clark was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Paula Ann Clark, CRNA · NPI 1215110580
Nurse Anesthetist, Certified Registered physician in Harbor City, California. Individual provider, active in the CMS NPPES registry since December 10, 2007.
## Identity
- **NPI:** 1215110580 (Entity type: Individual)
- **Enumerated:** December 10, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3548 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25825 VERMONT AVE, Harbor City, CA 90710-3518
- **Phone:** (310) 920-9459
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Digestive Care Consultants (NPI 1720078892, Torrance, CA); Landmark Anesthesia Medical Group (NPI 1770035024, Lynwood, CA); Palmdale Anesthesia, Inc (NPI 1205698115, Palmdale, CA); Monterey Anesthesia Professionals (NPI 1073935250, Salinas, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** September 26, 2024
- **Other identifiers:** Other 1261768; Other I9551971
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Source: [NPI Profile](https://npiprofile.com/npi/1215110580) · Data from the CMS NPPES public registry.