MEDICARE: DAVID A. CLARK, M.D., MEDICAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	00G123030	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	060052393	OTHER	CA	MEDICARE RR
3	00G123035	OTHER	CA	MEDICARE INDIV-STAN PTAN
4	ZZZ04915Z	OTHER	CA	MEDICARE GRP-STAN PTAN
5	ZZZ39341Z	OTHER	CA	MEDICARE GRP PTAN
6	00G123034	OTHER	CA	MEDICARE INDIV PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	06E9948	OTHER	CA	TRICARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821109349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID A. CLARK, M.D., MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	880 CASS ST
Second Line	:	SUITE 108
City	:	MONTEREY
State	:	CA
Zip	:	93940-2947
Country	:	US
Telephone Number	:	831-649-9330
Fax Number	:	831-649-9335

Provider Business Practice Location Address
First Line	:	880 CASS ST
Second Line	:	SUITE 108
City	:	MONTEREY
State	:	CA
Zip	:	93940-2947
Country	:	US
Telephone Number	:	831-649-9330
Fax Number	:	831-649-9335

Authorized Official
Title or Position	:	BILLING AND CODING SPECIALIST
Name	:	JOELENE A GONZALES
Credential	:
Telephone Number	:	831-649-9330

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	05/21/2025

Similar Medicare Providers

1477669174 — KATHERINE PENEBRE NP
Practice Location Address:

880 CASS ST , SUITE 209
MONTEREY, CA
93940-2947

Practice Phone: 831-642-6266
Practice Fax:

1205857745 — DR. TERRI LYNNE HALLER DDS
Practice Location Address:

880 CASS ST , SUITE 109
MONTEREY, CA
93940-2947

Practice Phone: 831-649-8030
Practice Fax:

1740386663 — LLOYD NATTKEMPER, DDS, INC.
Practice Location Address:

880 CASS ST , SUITE 208
MONTEREY, CA
93940-2947

Practice Phone: 831-649-3661
Practice Fax: 831-649-3690

1023286499 — DR. WAYNE LEE RICHEY D.D.S.
Practice Location Address:

880 CASS ST , #104
MONTEREY, CA
93940-2947

Practice Phone: 831-373-3531
Practice Fax: 831-373-3571

1205095742 — EYEMD ON CASS A PROFESSIONAL CORPORATION
Practice Location Address:

880 CASS ST , #105
MONTEREY, CA
93940-2947

Practice Phone: 831-373-0183
Practice Fax: 831-373-2275

1831326198 — DARRYL E BURNS DPM PC
Practice Location Address:

880 CASS ST , SUITE 103
MONTEREY, CA
93940-2947

Practice Phone: 831-646-0442
Practice Fax: 831-372-3774

Directions to “DAVID A. CLARK, M.D., MEDICAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.