Active NPI
Richard Andrew Clark, M.D
- Cardiovascular Disease Physician
- Travis Afb, CA
National Provider Identifier
1073718052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A145772
- Practice address
- 101 Bodin Cir
Travis Afb, CA 94535 - Phone
- (707) 423-2300
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A145772 | CA | Primary |
Addresses
Primary practice location
101 Bodin Cir
Travis Afb, CA 94535
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone (707) 423-2300
Other practice location 1
101 Bodin Cir
Travis AFB, CA 94535-1809
Phone (707) 423-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 University Ave
Sacramento, CA 95825-6504
Phone (916) 830-2000
Hospital & facility affiliations
- Mercy Medical Center Redding
- St Elizabeth Community Hospital
- Sutter Medical Center, Sacramento
- Mercy General Hospital
- Sutter Roseville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.96 of 100
- Quality
- 79.71
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145772 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Heart & Vascular Medical | Cardiovascular Disease | Current | Accepting new patients |
| Sacramento Heart & Vascular | Current | Accepting new patients | |
| Sacramento Heart Ambulatory Surgery Center, Inc | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
500 University Ave
Sacramento, CA 95825
Phone (916) 423-6806
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Sacramento, CA
- NPI 1093767063
-
- Ambulatory Surgical Clinic/Center
- Sacramento, CA
- NPI 1336510486
-
- Specialist
- Davis, CA
- NPI 1730293309
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Red Bluff, CA
- NPI 1083732853
-
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1073718052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIR",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "94535",
"telephone_number": "707-423-2300"
}
],
"practiceLocations": [
{
"address_1": "101 Bodin Cir",
"address_purpose": "LOCATION",
"city": "Travis AFB",
"state": "CA",
"postal_code": "945351809",
"country_code": "US",
"telephone_number": "707-423-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARK",
"first_name": "RICHARD",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A145772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.