BRYAN CLARK PA
NPI 1528776200
Physician Assistant in Sacramento, CA

Active since November 10, 2022PECOS EnrolledAccepts Medicare Assignment
1500 21ST ST, SACRAMENTO, CA 95811(916) 443-3299 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Clark Pa NPPES

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

BRYAN CLARK PA (NPI 1528776200) is an individual physician assistant in Sacramento, California and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2022).

NPPES Registry Identity

NPI1528776200
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN CLARKCredential: PA
Location Address1500 21ST STSacramento, CA 95811-5216
Mailing Address2620 Q St Apt 1Sacramento, CA 95816-6929 · (831) 236-6468
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2022
Enumeration DateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
NPI 1528776200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 21ST ST, Sacramento, CA 95811

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

Bryan Clark Pa 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.

PECOS PAC ID9335505361
PECOS Enrollment IDI20230517003268
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Infectious Disease)
1500 21ST ST
SACRAMENTO, CA 95811
Chiropractor
1500 21ST ST
SACRAMENTO, CA 95811
Social Worker (Clinical)
1500 21ST ST
SACRAMENTO, CA 95811
Social Worker (Clinical)
1500 21ST ST
SACRAMENTO, CA 95811
Pharmacist
1500 21ST ST
SACRAMENTO, CA 95811
Nurse Practitioner (Family)
1500 21ST ST
SACRAMENTO, CA 95811
Marriage & Family Therapist
1500 21ST ST
SACRAMENTO, CA 95811
Marriage & Family Therapist
1500 21ST ST
SACRAMENTO, CA 95811

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528776200, enumerated as an "individual" on November 10, 2022.

The provider is located at 1500 21ST ST SACRAMENTO, CA 95811 and the phone number is (916) 443-3299.

Physician Assistant with taxonomy code 363A00000X.