HANA CLARK DO
NPI 1730479569
Family Medicine in Rohnert Park, CA

Active since April 13, 2011PECOS EnrolledAccepts Medicare Assignment
1801 E COTATI AVE, ROHNERT PARK, CA 94928(707) 664-2921 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1730479569
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHANA CLARKCredential: DO
Location Address1801 E COTATI AVERohnert Park, CA 94928-3613
Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5784 · (707) 303-3600
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2011
Enumeration DateApril 13, 2011
Last NPPES UpdateJanuary 4, 2022
NPI 1730479569 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 · 20A12456
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.

1801 E COTATI AVE, Rohnert Park, CA 94928

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9234361924
PECOS Enrollment IDI20150116000016
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 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.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Nurse Practitioner
1801 E COTATI AVE, SONOMA STATE UNIVERSITY
ROHNERT PARK, CA 94928
Nurse Practitioner (Family)
1801 E COTATI AVE, SONOMA STATE UNIVERSITY STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928
Specialist
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Specialist/Technologist (Athletic Trainer)
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Registered Nurse
1801 E COTATI AVE
ROHNERT PARK, CA 94928
Nurse Practitioner (Adult Health)
1801 E COTATI AVE, STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928
Pediatrics (Adolescent Medicine)
1801 E COTATI AVE, STUDENT HEALTH CENTER
ROHNERT PARK, CA 94928
Nurse Practitioner (Family)
1801 E COTATI AVE
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.

When was this NPI record last updated?

The NPPES record for Hana Clark was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.