CARRIE-ANNE CLARK PA-C NPI 1275742462

NPI Details

Carrie-anne Clark, PA-C is a surgical physician assistant in Fullerton, CA with 21 years of experience. Carrie-anne Clark, PA-C NPI is 1275742462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 E VALENCIA MESA DR
SUITE 105
FULLERTON, CA
ZIP 92835-813
Phone: (714) 446-5200
Fax: (714) 446-5292

The NPI 1275742462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
• Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
• Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
• Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 10/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: