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DONIA CLARK MD
NPI 1689238560
Family Medicine in San Diego, CA

Active since April 26, 2019PECOS Enrolled
73.62/100
CMS Quality Rating
5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 30, 2024, Apr 26, 2019 (2 updates tracked since 2019).

About Donia Clark Md NPPES

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

DONIA CLARK MD (NPI 1689238560) is an individual family medicine provider in San Diego, California, licensed in California (A178849) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689238560
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDONIA CLARKCredential: MD
Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300
Phone(619) 515-2400
Sole ProprietorNo
Enumeration DateApril 26, 2019
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1689238560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A178849
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5454 EL CAJON BLVD, San Diego, CA 92115
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Other Names 1

Former Name (1)Donia Ahadian Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donia Clark Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donia Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Centers Of San Diego, Inc
Same address
Federally Qualified Health Center (FQHC)
5454 EL CAJON BLVD
San Diego, CA 92115
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1023054004 (619) 515-2400
Sharp Rees-Stealy Medical Group, Inc
7.8 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

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. RAMANDEEP SINGH DHILLON M.D.
Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
MARIA GUADALUPE LUNA MD
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
CYNTHIA JEANEEN JAUREGUI MFT
Marriage & Family Therapist
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
YASMEEN ALHOMSY
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
PHILLIP SO
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
ROSALIAS READ ASW
Social Worker (Clinical)
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400
DR. RAISA LEIMOMI ANCHETA MD
Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
San Diego County (619) 515-2400

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 Donia Clark's NPI number?

The NPI number for Donia Clark is 1689238560. It was assigned to this individual provider in the NPPES registry on April 26, 2019. The provider is also known as Donia Ahadian MD.

Where is Donia Clark located?

Donia Clark practices at 5454 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (619) 515-2400.

What is Donia Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donia Clark enrolled in Medicare?

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

Which organizations bill Medicare for Donia Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donia Clark reassigns Medicare benefits to 2 organizations: Family Health Centers Of San Diego, Inc (San Diego, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donia Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donia Clark was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.