Dr Samuel J Clark, MD | |
1940 El Cajon Blvd, San Diego, CA 92104-1005 | |
(619) 543-4500 | |
(619) 295-5600 |
Full Name | Dr Samuel J Clark |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 32 Years |
Location | 1940 El Cajon Blvd, San Diego, 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 |
---|---|---|---|
1689611709 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Sharp Memorial Hospital | San diego, CA | Hospital |
Sharp Chula Vista Medical Center | Chula vista, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Samuel J Clark Md Inc | 0547279499 | 2 |
Sd Diagnostics Inc | 3870723950 | 8 |
Chest Medicine And Critical Care Medical Group Inc | 6103898259 | 22 |
Emergency And Acute Care Medical Corporation | 9537108279 | 394 |
Entity Name | Chest Medicine And Critical Care Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841292521 PECOS PAC ID: 6103898259 Enrollment ID: O20040809001379 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | Samuel J Clark Md Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124079793 PECOS PAC ID: 0547279499 Enrollment ID: O20060420000417 |
Entity Name | Knd Development 59 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740519081 PECOS PAC ID: 3678602802 Enrollment ID: O20100724000249 |
Entity Name | Sd Diagnostics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003252834 PECOS PAC ID: 3870723950 Enrollment ID: O20140312001772 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel J Clark, MD Po Box 881609, San Diego, CA 92168-1609 Ph: (619) 794-2521 | Dr Samuel J Clark, MD 1940 El Cajon Blvd, San Diego, CA 92104-1005 Ph: (619) 543-4500 |
Dr. Ramin Motarjemi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069 | |
Dr. Shweta Warner, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012 | |
Dr. Matthew James Roosevelt, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091 | |
Dr. Daniel Joseph Desantis, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr., San Diego, CA 92134 Phone: 619-532-7935 | |
Jedidiah Daniel Bell, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434 | |
Dr. Umber Dube, MD PHD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 8899 University Center Lane, Suite 350 Mc 0975, San Diego, CA 92122 Phone: 858-657-1675 | |
Dr. Patricia Vold Pepper, MD, MSC, FACP Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-7504 Fax: 619-532-7508 |