Clelia Alexandra Clark, MD
NPI 1295294163ActiveIndividual· Emergency Medicine· Santa Rosa, CA
Emergency Medicine (MD) in Santa Rosa, California, trained at University of California, Irvine, California College of Medicine (class of 2019). 317 Medicare patients in 2024, $47,062 paid; nearly all of their 68 Part D prescriptions were generic (94%).
Overview
| NPI | 1295294163 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 19, 2019 |
| Last updated in NPPES | Aug 3, 2022 |
| Certified by provider | Aug 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | A176361 | CA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 317 |
|---|---|
| Services billed | 489 across 27 procedure codes |
| Paid by Medicare | $47,062 |
Part D prescriptions in 2024
| Prescriptions (claims) | 68 · 69 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $1,227 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of California, Irvine, California College of Medicine |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Emergency Medicine |
Medical group
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliation
- Providence Santa Rosa Memorial HospitalSanta Rosa, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Emergency Medicine providers in Santa Rosa
- 1033152350
- 1801254594
- 1700413002
- 1073685897
- 1841234408
- 1922253228
- 1417036559
- 1700194917
- 1073697140
- 1508396433
- 1902950934
- 1184173239