MRS. BRITTANI JOLAI CLARK CPNP-PC
NPI 1649727199
Nurse Practitioner - Pediatrics in San Fernando, CA

Active since September 01, 2016PECOS Enrolled
1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 898-1388(818) 270-9590 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brittani Jolai Clark Cpnp-pc NPPES

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

MRS. BRITTANI JOLAI CLARK CPNP-PC (NPI 1649727199) is an individual pediatrics provider in San Fernando, California, licensed in California (95004797) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649727199
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. BRITTANI JOLAI CLARKCredential: CPNP-PC
Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328
Mailing Address28847 W Hills DrValencia, CA 91354-3055 · (951) 283-7146
Fax(818) 270-9590
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
NPI 1649727199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95004797
1172 N MACLAY AVE, San Fernando, CA 91340

Other Names 1

Former Name (1)Brittani Jolai Mccullough

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Brittani Jolai Clark Cpnp-pc 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 91340 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.

Social Worker (Clinical)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Registered Nurse
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Clinic/Center (Federally Qualified Health Center (FQHC))
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Marriage & Family Therapist
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Family Medicine
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Pediatrics
1172 N MACLAY AVE
SAN FERNANDO, CA 91340
Dentist (General Practice)
1172 N MACLAY AVE
SAN FERNANDO, CA 91340

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 Brittani Clark's NPI number?

The NPI number for Brittani Clark is 1649727199. It was assigned to this individual provider in the NPPES registry on September 1, 2016. The provider is also known as Brittani Jolai Mccullough.

Where is Brittani Clark located?

Brittani Clark practices at 1172 N Maclay Ave, San Fernando, CA 91340. The listed phone number is (818) 898-1388.

What is Brittani Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Brittani Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brittani Clark was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.