DR. STACY J CLARK D.O.
NPI 1376728048
Family Medicine in Santa Clarita, CA
About Dr. Stacy J Clark D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STACY J CLARK D.O. (NPI 1376728048) is an individual family medicine provider in Santa Clarita, California, licensed in California (20A7457) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.
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 (PECOS)
Dr. Stacy J Clark D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stacy Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sylmar, CA 91342
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 1,939 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91355 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.
SANTA CLARITA, CA 91355
SANTA CLARITA, CA 91355
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 Stacy Clark's NPI number?
The NPI number for Stacy Clark is 1376728048. It was assigned to this individual provider in the NPPES registry on December 31, 2007.
Where is Stacy Clark located?
Stacy Clark practices at 27107 Tourney Rd, Santa Clarita, CA 91355. The listed phone number is (661) 222-2154.
What is Stacy Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stacy Clark enrolled in Medicare?
Yes. Stacy Clark is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stacy Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Clark reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Sylmar, CA). The 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 Stacy Clark'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 Stacy Clark was last updated on December 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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. Stacy J Clark, D.O. · NPI 1376728048
Family Medicine physician in Santa Clarita, California. Individual provider, active in the CMS NPPES registry since December 31, 2007.
## Identity
- **NPI:** 1376728048 (Entity type: Individual)
- **Enumerated:** December 31, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A7457 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27107 TOURNEY RD, Santa Clarita, CA 91355-1860
- **Phone:** (661) 222-2154
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Los Angeles Auditor Controller (NPI 1134159320, Sylmar, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 31, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1376728048) · Data from the CMS NPPES public registry.