Active NPI
Clark J Wilkey, DO
- Family Medicine Physician
- Ventura, CA
National Provider Identifier
1154941904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A20550
- Practice address
- 168 N Brent St Ste 502
Ventura, CA 93003-2840 - Phone
- (805) 641-2000
- Fax
- (805) 653-1644
- NPI assigned
- Apr 22, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A20550 | CA | Primary |
Addresses
Primary practice location
168 N Brent St Ste 502
Ventura, CA 93003-2840
Mailing address
5051 Verdugo Way Ste 110
Camarillo, CA 93012-8679
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
168 N Brent St
Suite 502
Ventura, CA 93003-2840
Phone (805) 641-2000
Hospital & facility affiliations
- Mission Home Health of Ventura, LLC
- Assisted Home Care
- Livingston Memorial Visiting Nurse Association
- Community Memorial Hospital - Ventura
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A20550 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients |
Locations
5051 Verdugo Way
Ste 110
Camarillo, CA 93012
Phone (805) 445-7010
1700 N Rose Ave
Ste 210
Oxnard, CA 93030
Phone (805) 988-8058
1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
168 N Brent St
Ste 502
Ventura, CA 93003
Phone (805) 641-2000
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Multi-Specialty Clinic/Center
- Camarillo, CA
- NPI 1386937977
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ventura, CA
- NPI 1619929734
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
-
- Home Health Agency
- Ventura, CA
- NPI 1053315739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1154941904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 VERDUGO WAY STE 110",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 N BRENT ST STE 502",
"city": "VENTURA",
"state": "CA",
"postal_code": "930032840",
"telephone_number": "805-641-2000",
"fax_number": "805-653-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKEY",
"first_name": "CLARK",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A20550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.