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STACEY J CLARKE D.P.M.
NPI 1437157260
Podiatrist - Foot & Ankle Surgery in Indio, CA

Active since July 14, 2005PECOS Enrolled
82013 DOCTOR CARREON BLVD STE H, INDIO, CA 92201(760) 610-8398(442) 300-2925 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey J Clarke D.p.m. NPPES

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

STACEY J CLARKE D.P.M. (NPI 1437157260) is an individual foot & ankle surgery provider in Indio, California, licensed in California (E5243) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437157260
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameSTACEY J CLARKECredential: D.P.M.
Location Address82013 DOCTOR CARREON BLVD STE HIndio, CA 92201-5832
Mailing Address82013 Doctor Carreon Blvd Ste HIndio, CA 92201-5832 · (760) 610-8398 · Fax (442) 300-2925
Phone(760) 610-8398
Fax(442) 300-2925
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1437157260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in CA · E5243✔ Licensed in OR · DP00283
Also ListedPodiatristTaxonomy 213E00000X · License E5243 (CA)
82013 DOCTOR CARREON BLVD STE H, Indio, CA 92201
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Other Identifiers 1

Medicaid150541OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey J Clarke D.p.m. 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOOT & WOUND CARE OF INDIO
Podiatrist (Foot Surgery)
82013 DOCTOR CARREON BLVD STE H
INDIO, CA 92201
Riverside County (760) 610-8398
PAUL HUNG NGUYEN DPM
Podiatrist (Foot & Ankle Surgery)
82013 DOCTOR CARREON BLVD STE H
INDIO, CA 92201
Riverside County (760) 610-8398
BRIAN KEITH CONSTANTINE DPM
Podiatrist (Foot & Ankle Surgery)
82013 DOCTOR CARREON BLVD STE H
INDIO, CA 92201
Riverside County (760) 610-8398

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 Stacey Clarke's NPI number?

The NPI number for Stacey Clarke is 1437157260. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Stacey Clarke located?

Stacey Clarke practices at 82013 Doctor Carreon Blvd Ste H, Indio, CA 92201. The listed phone number is (760) 610-8398.

What is Stacey Clarke's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Stacey Clarke enrolled in Medicare?

Yes. Stacey Clarke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Clarke was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.