MARIAM CLARK NP
NPI 1619370194
Nurse Practitioner - Family in Los Angeles, CA
About Mariam Clark Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAM CLARK NP (NPI 1619370194) is an individual family provider in Los Angeles, California, licensed in California (95000880) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chino.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mariam Clark Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 14
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90063
LOS ANGELES, CA 90063
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 Mariam Clark's NPI number?
The NPI number for Mariam Clark is 1619370194. It was assigned to this individual provider in the NPPES registry on September 29, 2014.
Where is Mariam Clark located?
Mariam Clark practices at 3612 1/2 E 1st St, Los Angeles, CA 90063. The listed phone number is (323) 264-7796.
What is Mariam Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mariam Clark enrolled in Medicare?
Yes. Mariam Clark is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mariam Clark was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.