ALEXANDRA M CLARK M.D.
NPI 1770506545
Pediatrics in Loma Linda, CA

Q: What is Alexandra Clark's NPI number?

The NPI number for Alexandra Clark is 1770506545. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Alexandra Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Alexandra Clark was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2006PECOS Enrolled

11370 ANDERSON ST, STE B-100, LOMA LINDA, CA 92354(909) 558-2848 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alexandra M Clark M.d. NPPES

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

ALEXANDRA M CLARK M.D. (NPI 1770506545) is an individual pediatrics provider in Loma Linda, California, licensed in California (A74413) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770506545

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameALEXANDRA M CLARKCredential: M.D.

Location Address11370 ANDERSON ST, STE B-100Loma Linda, CA 92354-3450

Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 558-3111

Phone(909) 558-2848

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770506545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A74413

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11370 ANDERSON ST, Loma Linda, CA 92354

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Other Identifiers 3

Medicaid00A744130CA

Medicare ID-Type Unspecified00A744130

Medicare UPINH61362

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra M Clark M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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