STEPHANIE CLARK-POVEDA PA NPI 1881761120

NPI Information

  • NPI: 1881761120
  • Provider Name: STEPHANIE CLARK-POVEDA, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9961 SIERRA AVE
    FONTANA, CA
    ZIP 92335
  • Phone: (909) 427-3910

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NPI Details

Stephanie Clark-poveda, PA is a physician assistant in Fontana, CA with 23 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Stephanie Clark-poveda, PA NPI is 1881761120. 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:

9961 SIERRA AVE
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-3910

The NPI 1881761120 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.

  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • New patient home visit, typically 75 minutes (HCPCS:99345)
  • New patient home visit, typically 1 hour (HCPCS:99344)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • New patient custodial care facility, group care, or assisted living visit, typically 45 minutes (HCPCS:99326)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • Smoking and tobacco use intensive counseling, 4-10 minutes (HCPCS:99406)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Established patient home visit, typically 15 minutes (HCPCS:99347)
  • Smoking and tobacco use intensive counseling, more than 10 minutes (HCPCS:99407)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)

The enumeration date for this NPI number is 11/30/2006 and was last updated on 12/1/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA17035CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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