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DAWN MICHELLE CLARK CRNA,MSN
NPI 1891843900
General Acute Care Hospital in Walnut Creek, CA

Active since January 08, 2007
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4665 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dawn Michelle Clark Crna,msn NPPES

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

DAWN MICHELLE CLARK CRNA,MSN (NPI 1891843900) is an individual general acute care hospital provider in Walnut Creek, California, licensed in California (418756) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1891843900
Entity TypeIndividualFemale
Primary Taxonomy282N00000X
Provider Legal NameDAWN MICHELLE CLARKCredential: CRNA,MSN
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address1425 S Main StWalnut Creek, CA 94596-5318 · (925) 295-4665
Phone(925) 295-4665
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1891843900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in CA · 418756
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1425 S MAIN ST, Walnut Creek, CA 94596
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dawn Michelle Clark Crna,msn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Dawn Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Permanente Medical Group Inc
17 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555
County Of San Joaquin
42 mi
General Acute Care Hospital
500 W. HOSPITAL RD.
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 534 clinicians in this Medicare group
NPI 1801830583 (209) 468-6937
Anesthesia Services Of San Joaquin, P.C.
42 mi
Anesthesiology
500 W HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Anesthesia Services Of San Joaquin PC
  • 217 clinicians in this Medicare group
NPI 1366778227 (877) 580-3144
San Joaquin Faculty Medical Group
42 mi
Internal Medicine
500 HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 512 clinicians in this Medicare group
NPI 1225063761 (209) 473-6555

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

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.

BROOK ANDREW WOOLLEY M.D.
Emergency Medicine
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5100
DR. THOMAS CRESANTE D.O.
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4643
SARA WON MD
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4040
KAISER PERMANENTE
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
MICHELLE CABLE VU CRNA
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000
DR. JESUS GIL JIMENEZ MD
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4110
MR. EDWARD HAL PIECZENIK L.C.S.W.
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-5237
CARLOS A. CROMEYER MD
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Contra Costa County (925) 295-4000

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 Dawn Clark's NPI number?

The NPI number for Dawn Clark is 1891843900. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Dawn Clark located?

Dawn Clark practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4665.

What is Dawn Clark's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Dawn Clark enrolled in Medicare?

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

Which organizations bill Medicare for Dawn Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Clark reassigns Medicare benefits to 4 organizations: Permanente Medical Group Inc (Richmond, CA), County Of San Joaquin (French Camp, CA), Anesthesia Services Of San Joaquin, P.C. (French Camp, CA) and San Joaquin Faculty Medical Group (French Camp, CA). Each 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 Dawn 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 Dawn Clark was last updated on February 11, 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.