Clark Pediatrics and Family Medicine Inc
NPI 1619125770ActiveOrganization· Specialist· Aliso Viejo, CA
Specialist in Aliso Viejo, California, registered in NPPES in September 2008. The authorized official on file is Heather Maile Tomlin, Billing Manager.
Overview
| NPI | 1619125770 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 3, 2008 |
| Last updated in NPPES | Sep 3, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | A18257 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Aliso Viejo
- 1154432607
- 1295870293
- 1629153143
- 1023438488
- 1942204409
- 1427023316
- 1346120912