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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACE VICTORIA CLARK MD
NPI 1821738923
Obstetrics & Gynecology in San Clemente, CA

Active since March 29, 2022PECOS Enrolled
993 AVENIDA PICO, STE 120, SAN CLEMENTE, CA 92673(949) 829-5533 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Victoria Clark Md NPPES

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

GRACE VICTORIA CLARK MD (NPI 1821738923) is an individual obstetrics & gynecology provider in San Clemente, California, licensed in California (A209801) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821738923
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameGRACE VICTORIA CLARKCredential: MD
Location Address993 AVENIDA PICO, STE 120San Clemente, CA 92673
Mailing Address2995 Red Hill Ave, Ste 200Costa Mesa, CA 92626
Phone(949) 829-5533
Sole ProprietorYes
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1821738923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A209801
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
993 AVENIDA PICO, San Clemente, CA 92673
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Victoria 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92673 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOPEDIC INSTITUTE OF NEWPORT BEACH LIMITED PARTNERSHIP
Orthopaedic Surgery
993 AVENIDA PICO
SAN CLEMENTE, CA 92673
Orange County (949) 722-7038

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 Grace Clark's NPI number?

The NPI number for Grace Clark is 1821738923. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Grace Clark located?

Grace Clark practices at 993 Avenida Pico Ste 120, San Clemente, CA 92673. The listed phone number is (949) 829-5533.

What is Grace Clark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Grace Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Grace Clark was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.