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KRISTEN BARBARA CLARK MD
NPI 1295485332
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 23, 2022PECOS Enrolled
757 WESTWOOD PLZ # PM&R, LOS ANGELES, CA 90095(310) 478-3711 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Barbara Clark Md NPPES

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

KRISTEN BARBARA CLARK MD (NPI 1295485332) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295485332
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTEN BARBARA CLARKCredential: MD
Location Address757 WESTWOOD PLZ # PM&RLos Angeles, CA 90095-6019
Mailing Address757 Westwood Plz # Pm&rLos Angeles, CA 90095-7419
Phone(310) 478-3711
Sole ProprietorNo
Enumeration DateMarch 23, 2022
Last NPPES UpdateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1295485332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
757 WESTWOOD PLZ # PM&R, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Barbara Clark 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.

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 Kristen Clark's NPI number?

The NPI number for Kristen Clark is 1295485332. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Kristen Clark located?

Kristen Clark practices at 757 Westwood Plz # Pm&r, Los Angeles, CA 90095. The listed phone number is (310) 478-3711.

What is Kristen Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristen Clark enrolled in Medicare?

Yes. Kristen Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristen Clark was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.