CARRIE-ANNE CLARK PA-C
NPI 1275742462
Physician Assistant - Surgical in Fullerton, CA

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
100 E VALENCIA MESA DR, SUITE 105, FULLERTON, CA 92835(714) 446-5200(714) 446-5292 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 20, 2021, Oct 19, 2020, Sep 24, 2018 (3 updates tracked since 2018).

About Carrie-anne Clark Pa-c NPPES

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

CARRIE-ANNE CLARK PA-C (NPI 1275742462) is an individual surgical provider in Fullerton, California, licensed in California (PA17731) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1275742462
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCARRIE-ANNE CLARKCredential: PA-C
Location Address100 E VALENCIA MESA DR, SUITE 105Fullerton, CA 92835-3813
Mailing Address100 E Valencia Mesa Dr Ste 105Fullerton, CA 92835-3816
Fax(714) 446-5292
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 22, 2007
Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
NPI 1275742462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA17731
100 E VALENCIA MESA DR, Fullerton, CA 92835

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carrie-anne Clark Pa-c 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.

PECOS PAC ID6507886363
PECOS Enrollment IDI20051123000219
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.

Areas of Expertise CMS Part B claims 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
132 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services73 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
101 services61 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
37 services24 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
32 services32 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
31 services31 patients

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.

Internal Medicine (Critical Care Medicine)
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Neurological Surgery
100 E VALENCIA MESA DR
FULLERTON, CA 92835
Physician Assistant
100 E VALENCIA MESA DR, SUITE 310
FULLERTON, CA 92835
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 111
FULLERTON, CA 92835
Pharmacy (Community/Retail Pharmacy)
100 E VALENCIA MESA DR, SUITE 106
FULLERTON, CA 92835
Internal Medicine (Interventional Cardiology)
100 E VALENCIA MESA DR, SUITE 206
FULLERTON, CA 92835
Dietitian, Registered
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835
Physician Assistant (Surgical)
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 92835

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 Carrie-anne Clark's NPI number?

The NPI number for Carrie-anne Clark is 1275742462. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Carrie-anne Clark located?

Carrie-anne Clark practices at 100 E Valencia Mesa Dr Suite 105, Fullerton, CA 92835. The listed phone number is (714) 446-5200.

What is Carrie-anne Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carrie-anne Clark enrolled in Medicare?

Yes. Carrie-anne 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.

When was this NPI record last updated?

The NPPES record for Carrie-anne Clark was last updated on October 20, 2021. 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.