JOSEFINA CLARK CNM
NPI 1508630203
Midwife in South Gate, CA

Active since November 13, 2023PECOS Enrolled
5831 FIRESTONE BLVD STE E, SOUTH GATE, CA 90280(323) 521-5887 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Josefina Clark Cnm NPPES

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

JOSEFINA CLARK CNM (NPI 1508630203) is an individual midwife in South Gate, California, licensed in California (236395) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508630203
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameJOSEFINA CLARKCredential: CNM
Location Address5831 FIRESTONE BLVD STE ESouth Gate, CA 90280-3718
Mailing Address12115 Morning AveDowney, CA 90242-2325 · (310) 722-5383
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
NPI 1508630203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in CA · 236395
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
5831 FIRESTONE BLVD STE E, South Gate, CA 90280

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Josefina Clark Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426572801
PECOS Enrollment IDI20250623003117
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 6

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Nurse Practitioner
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Physician Assistant (Medical)
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Obstetrics & Gynecology
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280
Student in an Organized Health Care Education/Training Program
5831 FIRESTONE BLVD STE E
SOUTH GATE, CA 90280

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 Josefina Clark's NPI number?

The NPI number for Josefina Clark is 1508630203. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Josefina Clark located?

Josefina Clark practices at 5831 Firestone Blvd Ste E, South Gate, CA 90280. The listed phone number is (323) 521-5887.

What is Josefina Clark's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Josefina Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Josefina Clark was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.