HANA CLARK DO
NPI 1730479569
Family Medicine in Rohnert Park, CA
About Hana Clark Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANA CLARK DO (NPI 1730479569) is an individual family medicine provider in Rohnert Park, California, licensed in California (20A12456) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2011).
NPPES Registry Identity
Specialties & Licenses
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
Hana Clark Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Hana Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
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 94928 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
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 Hana Clark's NPI number?
The NPI number for Hana Clark is 1730479569. It was assigned to this individual provider in the NPPES registry on April 13, 2011.
Where is Hana Clark located?
Hana Clark practices at 1801 E Cotati Ave, Rohnert Park, CA 94928. The listed phone number is (707) 664-2921.
What is Hana Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hana Clark enrolled in Medicare?
Yes. Hana 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 Hana Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hana Clark reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Hana 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 Hana Clark was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Hana Clark, DO · NPI 1730479569
Family Medicine physician in Rohnert Park, California. Individual provider, active in the CMS NPPES registry since April 13, 2011.
## Identity
- **NPI:** 1730479569 (Entity type: Individual)
- **Enumerated:** April 13, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A12456 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 E COTATI AVE, Rohnert Park, CA 94928-3613
- **Phone:** (707) 664-2921
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2011
## Record status
- **NPPES last updated:** January 4, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730479569) · Data from the CMS NPPES public registry.