DR. MICHAEL ALLEN CLARK M.D.
NPI 1306105986
Psychiatry & Neurology - Psychiatry in Loma Linda, CA
About Dr. Michael Allen Clark M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL ALLEN CLARK M.D. (NPI 1306105986) is an individual psychiatry provider in Loma Linda, California, licensed in California (A130026) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Michael Allen Clark M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Michael Clark's NPI number?
The NPI number for Michael Clark is 1306105986. It was assigned to this individual provider in the NPPES registry on May 16, 2012.
Where is Michael Clark located?
Michael Clark practices at 11234 Anderson St Gme Office Csp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-9532.
What is Michael Clark's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Michael Clark enrolled in Medicare?
Yes. Michael 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 Michael Clark was last updated on December 1, 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.
# Dr. Michael Allen Clark, M.D. · NPI 1306105986
Psychiatry physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since May 16, 2012.
## Identity
- **NPI:** 1306105986 (Entity type: Individual)
- **Enumerated:** May 16, 2012
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A130026 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, GME OFFICE CSP 21005, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-9532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Loma Linda University School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** December 1, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1306105986) · Data from the CMS NPPES public registry.