Active NPI
Zoanne A Clack, M.D.
- Specialist
- Montebello, CA
National Provider Identifier
1174582399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A72372
- Practice address
- 309 W Beverly Blvd
Montebello, CA 90640-4308 - Phone
- (323) 726-1222
- Fax
- (818) 587-2493
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A72372 | CA | Primary |
Addresses
Primary practice location
309 W Beverly Blvd
Montebello, CA 90640-4308
Mailing address
PO Box 4419
Woodland Hills, CA 91365-4419
Phone (818) 340-9988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A723720 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72372 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Emergency Medical Associates | Past | Accepting new patients | |
| Centinela Freeman Emergency Medical Associates | Past | Accepting new patients | |
| Max Franklin Lebow, a Medical Corporation | Past | Accepting new patients |
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.
-
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- NPI 1962539684
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1043255813
-
- Emergency Medicine Physician
- Panorama City, CA
- NPI 1801837299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174582399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4419",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913654419",
"telephone_number": "818-340-9988",
"fax_number": "818-587-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404308",
"telephone_number": "323-726-1222",
"fax_number": "818-587-2493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLACK",
"first_name": "ZOANNE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A72372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A723720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.