Dr Chad Leroy Clark, MD | |
3865 Jackson St, Riverside, CA 92503-3919 | |
(951) 352-5666 | |
(951) 352-5445 |
Full Name | Dr Chad Leroy Clark |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 3865 Jackson St, Riverside, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023052545 | NPI | - | NPPES |
00A706620 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A70662 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Culver Emergency Medical Group | 0244378677 | 21 |
Riverside Emergency Physicians Medical Group | 0547173882 | 23 |
Entity Name | Riverside Emergency Physicians Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972539039 PECOS PAC ID: 0547173882 Enrollment ID: O20040729001307 |
Entity Name | Culver Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699907923 PECOS PAC ID: 0244378677 Enrollment ID: O20091105000182 |
Entity Name | Anaheim Emergency Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114626017 PECOS PAC ID: 9133585029 Enrollment ID: O20230518003235 |
Mailing Address | Practice Location Address |
---|---|
Dr Chad Leroy Clark, MD Po Box 661987, Arcadia, CA 91066-1987 Ph: (626) 447-0296 | Dr Chad Leroy Clark, MD 3865 Jackson St, Riverside, CA 92503-3919 Ph: (951) 352-5666 |
Dr. David Stuart Siegel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3425 Torrey St, Riverside, CA 92503 Phone: 561-685-6148 | |
Doug John Williamson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10800 Magnolia Ave, Riverside, CA 92505 Phone: 909-353-2000 | |
Kenneth Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-788-3537 Fax: 951-788-3173 | |
Dr. Ernest Woodhouse, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4440 Magnolia Ave., Riverside, CA 92501 Phone: 951-788-3200 | |
Dr. Michael Kang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4445 Magnolia Ave, Riverside, CA 92501 Phone: 951-684-3910 | |
Dr. Humberto Alirio Silva, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3865 Jackson St, Riverside, CA 92503 Phone: 951-352-5666 Fax: 951-352-5445 |