Steven Jon Clark, DPM | |
699 W Tefft St Ste A, Nipomo, CA 93444-9288 | |
(805) 619-5610 | |
(805) 619-5179 |
Full Name | Steven Jon Clark |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 26 Years |
Location | 699 W Tefft St Ste A, Nipomo, 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 |
---|---|---|---|
1114952462 | NPI | - | NPPES |
000E43360 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E4336 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marian Regional Medical Center | Santa maria, CA | Hospital |
French Hospital Medical Center | San luis obispo, CA | Hospital |
Provider Name | Steve Clark Dpm Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558663690 PECOS PAC ID: 4587840145 Enrollment ID: O20110516000466 |
Mailing Address | Practice Location Address |
---|---|
Steven Jon Clark, DPM 699 W Tefft St Ste A, Nipomo, CA 93444-9288 Ph: (805) 619-5610 | Steven Jon Clark, DPM 699 W Tefft St Ste A, Nipomo, CA 93444-9288 Ph: (805) 619-5610 |
Steve Clark Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 699 W Tefft St Ste A, Nipomo, CA 93444 Phone: 805-619-5610 Fax: 805-619-5179 | |
Dr. Billy Yu, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 Tejas Pl, Nipomo, CA 93444 Phone: 805-929-3211 Fax: 805-929-6359 | |
Dr. Thomas Henry Vincent Ii, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 620 W Tefft St, Nipomo, CA 93444 Phone: 805-929-8055 Fax: 805-929-8066 |