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DR. SHANNON CLARK M.D.
NPI 1295922912
Family Medicine in Sacramento, CA

Active since September 26, 2007PECOS Enrolled
4860 Y ST, SUITE 2500, SACRAMENTO, CA 95817(916) 734-8445(916) 734-6666 Get Directions Write a Review

NPPES record last updated: July 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shannon Clark M.d. NPPES

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

DR. SHANNON CLARK M.D. (NPI 1295922912) is an individual family medicine provider in Sacramento, California, licensed in California (A103021) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295922912
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON CLARKCredential: M.D.
Location Address4860 Y ST, SUITE 2500Sacramento, CA 95817-2307
Mailing Address4860 Y St, Suite 2500Sacramento, CA 95817-2307 · (916) 734-8445 · Fax (916) 734-6666
Phone(916) 734-8445
Fax(916) 734-6666
Sole ProprietorNo
Enumeration DateSeptember 26, 2007
Last NPPES UpdateJuly 17, 2012
✔ NPI 1295922912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A103021
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License A103021 (CA)
Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License A103121 (CA)
4860 Y ST, Sacramento, CA 95817
Open in Google Maps ↗

Other Identifiers 1

Other00000CA · Medical

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Clark M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHELLE PALVOLGYI M.D.
Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
KATHRYN D NEWELL M.D.
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Sacramento County (916) 734-4843
DR. SARAH GONG MD
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Sacramento County (916) 734-3514
BRIAN JOVES M.D.
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
JAYLA WATKINS MD
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6978
JONATHAN BINDI MD
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6602
REGENTS OF THE UNIV OF CA
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6930
DR. SANDHYA VENUGOPAL M.D.
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817
Sacramento County (916) 734-3764

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 Shannon Clark's NPI number?

The NPI number for Shannon Clark is 1295922912. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Shannon Clark located?

Shannon Clark practices at 4860 Y St Suite 2500, Sacramento, CA 95817. The listed phone number is (916) 734-8445.

What is Shannon Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Clark was last updated on July 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.