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ERIC LEONARD CLARK M.D.
NPI 1720078470
Anesthesiology in San Diego, CA

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
79.24/100
CMS Quality Rating
3626 RUFFIN RD, SAN DIEGO, CA 92123(858) 565-9666(858) 565-9441 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eric Leonard Clark M.d. NPPES

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

ERIC LEONARD CLARK M.D. (NPI 1720078470) is an individual anesthesiology provider in San Diego, California, licensed in California (G65721) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1986).

NPPES Registry Identity

NPI1720078470
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameERIC LEONARD CLARKCredential: M.D.
Location Address3626 RUFFIN RDSan Diego, CA 92123-1810
Mailing Address3626 Ruffin RdSan Diego, CA 92123-1810 · (858) 565-9666 · Fax (858) 565-9441
Phone(858) 565-9666
Fax(858) 565-9441
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1986
Enumeration DateOctober 25, 2005
Last NPPES UpdateApril 14, 2011
✔ NPI 1720078470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · G65721
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3626 RUFFIN RD, San Diego, CA 92123
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINE34468
Medicare PINES207ZCA
Medicare ID-Type UnspecifiedWG65721HCA
Medicaid1720078470CA
Medicaid00G657210CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric Leonard Clark M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587621677
PECOS Enrollment IDI20041209001047
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 Reassignment

Medicare enrollment records show Eric Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Service Medical Group
Same address
Anesthesiology
3626 RUFFIN RD
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 269 clinicians in this Medicare group
NPI 1053354233 (858) 565-9666

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

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
15 services13 patients

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.

79.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.57
Improvement Activities40

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.

THOMAS J. PIETUCH M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DR. JEFFREY KOJI SAKIHARA M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
MARK SETH CHRISTOFFERSON MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
QUINN S HUME DO
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
STEVEN A. SALTZ M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
TATYANA FELDMAN MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DR. JAMES BRIAN BILLYS MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DARCI J. TOM M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666

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 Eric Clark's NPI number?

The NPI number for Eric Clark is 1720078470. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Eric Clark located?

Eric Clark practices at 3626 Ruffin Rd, San Diego, CA 92123. The listed phone number is (858) 565-9666.

What is Eric Clark's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Eric Clark enrolled in Medicare?

Yes. Eric Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Eric Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Clark reassigns Medicare benefits to Anesthesia Service Medical Group (San Diego, CA). The 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 Eric 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 Eric Clark was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.