DAMON H CLARK MD
NPI 1619138948
Surgery - Surgical Critical Care in Los Angeles, CA

Q: What is Damon Clark's NPI number?

The NPI number for Damon Clark is 1619138948. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Q: What is Damon Clark's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Damon Clark was last updated on November 27, 2023. 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.

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment

1500 SAN PABLO ST FL 7, LOS ANGELES, CA 90033(323) 442-6254 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Damon H Clark Md NPPES

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

DAMON H CLARK MD (NPI 1619138948) is an individual surgical critical care provider in Los Angeles, California, licensed in California (A127296) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2004).

NPPES Registry Identity

NPI1619138948

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NameDAMON H CLARKCredential: MD

Location Address1500 SAN PABLO ST FL 7Los Angeles, CA 90033-5313

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-6254

Phone(323) 442-6254

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2004

Enumeration DateJune 19, 2008

Last NPPES UpdateNovember 27, 2023

NPPES CertifiedOctober 19, 2020

✔ NPI 1619138948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in CA · A127296

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

1500 SAN PABLO ST FL 7, Los Angeles, CA 90033

Open in Google Maps ↗

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

Damon H Clark Md 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 ID1052549854

PECOS Enrollment IDI20140123001375

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

17 services14 patients

Other Providers at the Same Location NPPES 14

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

MATTHEW DIARMUID WIEPKING MD

Surgery (Surgical Critical Care)