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MRS. ALICIA SUZANNE CLARK MPAP, PA-C
NPI 1669899985
Physician Assistant - Medical in Los Angeles, CA

Active since March 25, 2014PECOS Enrolled
123 S ALVARADO ST, LOS ANGELES, CA 90057(213) 989-7700 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Alicia Suzanne Clark Mpap, Pa-c NPPES

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

MRS. ALICIA SUZANNE CLARK MPAP, PA-C (NPI 1669899985) is an individual medical provider in Los Angeles, California, licensed in California (51943) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669899985
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ALICIA SUZANNE CLARKCredential: MPAP, PA-C
Location Address123 S ALVARADO STLos Angeles, CA 90057-2201
Mailing Address123 S Alvarado StLos Angeles, CA 90057-2201 · (213) 989-7700
Phone(213) 989-7700
Sole ProprietorNo
Enumeration DateMarch 25, 2014
Last NPPES UpdateMay 21, 2015
✔ NPI 1669899985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 51943
123 S ALVARADO ST, Los Angeles, CA 90057
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Other Names 1

Former Name (1)Ms. Alicia Suzanne Perez

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. Alicia Suzanne Clark Mpap, Pa-c 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.

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.

MRS. ABIGAIL M. VOSS F.N.P.
Nurse Practitioner (Primary Care)
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 989-7700
MARIA ROSARIO PEREZ RN
Registered Nurse
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 989-7700
SARAH ELIZABETH FREIBERG P.A.
Physician Assistant
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 989-7700
JOSEPH PATRICK CARRILLO N.P.
Nurse Practitioner (Family)
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 989-7700
DR. MARIA AYALA M.D.
Family Medicine
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (323) 987-1413
DR. MARSHALL LO PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 201-8300
LUIS CARRILLO
Counselor (Mental Health)
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 989-7700
DR. RYAN DARVISH M.D.
Obstetrics & Gynecology (Gynecology)
123 S ALVARADO ST
LOS ANGELES, CA 90057
Los Angeles County (213) 989-7700

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 Alicia Clark's NPI number?

The NPI number for Alicia Clark is 1669899985. It was assigned to this individual provider in the NPPES registry on March 25, 2014. The provider is also known as Ms. Alicia Suzanne Perez.

Where is Alicia Clark located?

Alicia Clark practices at 123 S Alvarado St, Los Angeles, CA 90057. The listed phone number is (213) 989-7700.

What is Alicia Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alicia Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alicia Clark was last updated on May 21, 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.