| 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 | 27 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 |
|---|---|---|
| Choice Home Health Care | Monterey, CA | Home health agency |
| Superior Home Health | Lompoc, CA | Home health agency |
| Marian Regional Medical Center | Santa maria, 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: Not Enrolled in Medicare Practice Location: 620 W Tefft St, Nipomo, CA 93444 Phone: 805-929-8055 Fax: 805-929-8066 |