DR. SAMUEL OWEN CLARKE MD
NPI 1306045224
Emergency Medicine in Sacramento, CA
About Dr. Samuel Owen Clarke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL OWEN CLARKE MD (NPI 1306045224) is an individual emergency medicine provider in Sacramento, California, licensed in California (A106690) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Samuel Owen Clarke Md 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 Samuel Clarke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The University Of California
- 918 clinicians in this Medicare group
Lancaster, CA 93535
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 1,939 clinicians in this Medicare group
Long Beach, CA 90806
- Reassigned Medicare billing, California enrollment
- 75 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 3
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 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.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Samuel Clarke's NPI number?
The NPI number for Samuel Clarke is 1306045224. It was assigned to this individual provider in the NPPES registry on July 11, 2007.
Where is Samuel Clarke located?
Samuel Clarke practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-5010.
What is Samuel Clarke's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Samuel Clarke enrolled in Medicare?
Yes. Samuel Clarke 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 Samuel Clarke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Clarke reassigns Medicare benefits to 4 organizations: Regents Of The University Of Ca (Sacramento, CA), Regents Of The University Of Ca (Sacramento, CA), County Of Los Angeles Auditor Controller (Lancaster, CA) and Columbia Emergency Medical Group Inc (Long Beach, 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 Samuel Clarke'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 Samuel Clarke was last updated on August 1, 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.
# Dr. Samuel Owen Clarke, MD · NPI 1306045224
Emergency Medicine physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since July 11, 2007.
## Identity
- **NPI:** 1306045224 (Entity type: Individual)
- **Enumerated:** July 11, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A106690 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817-2201
- **Phone:** (916) 734-5010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA); Regents Of The University Of Ca (NPI 1407836059, Sacramento, CA); County Of Los Angeles Auditor Controller (NPI 1366453045, Lancaster, CA); Columbia Emergency Medical Group Inc (NPI 1871551119, Long Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** August 1, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1306045224) · Data from the CMS NPPES public registry.