SOUTH BAY FAMILY EYE
NPI 1295494961
Ophthalmology in Long Beach, CA

Q: What is Robert A Clark MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since December 10, 2021

4401 ATLANTIC AVE STE 410, LONG BEACH, CA 90807(562) 459-3363(562) 459-3364 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2022, Jan 22, 2022, Dec 10, 2021 (3 updates tracked since 2021).

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About South Bay Family Eye NPPES

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

SOUTH BAY FAMILY EYE (NPI 1295494961) is a healthcare organization registered as an ophthalmology in Long Beach, California and active in the NPI registry since December 2021. The organization lists Robert Alexander Clark, President, as its authorized official.

NPPES Registry Identity

NPI1295494961

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameROBERT A CLARK MD MEDICAL CORPORATION

Location Address4401 ATLANTIC AVE STE 410Long Beach, CA 90807-2263

Mailing Address955 Deep Valley Dr #2950Palos Verdes Peninsula, CA 90274-3058 · (310) 707-8113

Phone(562) 459-3363

Fax(562) 459-3364

Organization SubpartNo

Authorized OfficialRobert Alexander ClarkPresident · (562) 426-3925

Enumeration DateDecember 10, 2021

Last NPPES UpdateJuly 29, 20223 updates tracked since enumeration

NPPES CertifiedJuly 29, 2022

✔ NPI 1295494961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4401 ATLANTIC AVE STE 410, Long Beach, CA 90807

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Other Names 1

Doing Business AsSouth Bay Family Eye

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Bay Family Eye is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Bay Family Eye, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Robert Clark, M.D

Ophthalmology

NPI 1043232325

4401 ATLANTIC AVE STE 410
Long Beach, CA 90807

(562) 459-3363

✔ PECOS✔ Accepts MedicareSame address

Madeleine Puig, MD

Ophthalmology

NPI 1912560251

4401 ATLANTIC AVE STE 410
Long Beach, CA 90807

(562) 426-3925

✔ PECOS✔ Accepts MedicareSame address

Sheena Khanna, MD

Ophthalmology

NPI 1295127835

100 STEIN PLZ
Los Angeles, CA 90095

(310) 206-2380

✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Robert A Clark MD Medical Corporation's NPI number?

The NPI number for Robert A Clark MD Medical Corporation is 1295494961. It was assigned to this organization in the NPPES registry on December 10, 2021. The provider is doing business as South Bay Family Eye.

Where is Robert A Clark MD Medical Corporation located?

Robert A Clark MD Medical Corporation is located at 4401 Atlantic Ave Ste 410, Long Beach, CA 90807. The listed phone number is (562) 459-3363.

What is Robert A Clark MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert A Clark MD Medical Corporation enrolled in Medicare?

Yes. Robert A Clark MD Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert A Clark MD Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Robert A Clark MD Medical Corporation. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert A Clark MD Medical Corporation was last updated on July 29, 2022. 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.