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TRACY ANN CLARK M.D.
NPI 1629140686
Pediatrics in Long Beach, CA

Active since November 14, 2006PECOS Enrolled
2801 ATLANTIC AVE, LONG BEACH, CA 90806(562) 933-8743 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Ann Clark M.d. NPPES

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

TRACY ANN CLARK M.D. (NPI 1629140686) is an individual pediatrics provider in Long Beach, California, licensed in California (A90245) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629140686
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTRACY ANN CLARKCredential: M.D.
Location Address2801 ATLANTIC AVELong Beach, CA 90806-1701
Mailing AddressPo Box 1427Monrovia, CA 91017-1427 · (562) 933-8743
Phone(562) 933-8743
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJune 1, 2015
✔ NPI 1629140686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A90245
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2801 ATLANTIC AVE, Long Beach, CA 90806
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Ann Clark M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

DR. DAVID C KIM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 933-8100
MRS. ELISHA MARIE MARTIN MSN, NP
Nurse Practitioner (Acute Care)
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (310) 350-8902
MICHAEL A RAYA MD
Internal Medicine
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-3333
GISELLE ABUYUAN GARINGAN PA
Physician Assistant
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 933-2000
ELIZABETH MARY ZAAROUR
Physician Assistant
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 249-4575
LONG BEACH MEMORIAL MEDICAL
Pharmacy (Community/Retail Pharmacy)
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 933-0330
GLENN LEVINE M.D.
Pediatrics (Pediatric Critical Care Medicine)
2801 ATLANTIC AVE, 3RD FLOOR
LONG BEACH, CA 90806
Los Angeles County (562) 933-8743
DAVID KHOA CAO DO
Internal Medicine
2801 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 426-3333

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 Tracy Clark's NPI number?

The NPI number for Tracy Clark is 1629140686. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Tracy Clark located?

Tracy Clark practices at 2801 Atlantic Ave, Long Beach, CA 90806. The listed phone number is (562) 933-8743.

What is Tracy Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tracy Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Clark was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.