Active NPI
Troy Alan Clarke, P.A.-C
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1043476245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 16278
- Practice address
- 929 Georgia St
Health Care Partners
Los Angeles, CA 90015-1321 - Phone
- (213) 861-5950
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 16278 | CA | Primary |
Addresses
Primary practice location
929 Georgia St
Health Care Partners
Los Angeles, CA 90015-1321
Mailing address
406 Broadway # 335F
Santa Monica, CA 90401-2314
Phone (310) 450-4622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270252800000",
"number": "1043476245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 BROADWAY # 335F",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012314",
"telephone_number": "310-450-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 GEORGIA ST",
"address_2": "HEALTH CARE PARTNERS",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900151321",
"telephone_number": "213-861-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "TROY",
"middle_name": "ALAN",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2010-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "16278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.