Paula Ann Clark, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3548 Issued in CA

Practice address

25825 Vermont Ave
Harbor City, CA 90710-3518

Phone

(310) 920-9459

NPI assigned

Dec 10, 2007

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Care ConsultantsGroup PAC ID 6608867304, 15 clinicians

Palmdale Anesthesia, IncGroup PAC ID 4385082734, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmdale Anesthesia, Inc

  • Anesthesiology Physician
  • Palmdale, CA
  • NPI 1205698115
  Medicare reassignment Care Compare group NPD
• Digestive Care Consultants

  • Gastroenterology Physician
  • Torrance, CA
  • NPI 1720078892
  Medicare reassignment Care Compare group
• Landmark Anesthesia Medical Group

  dba Landmark Anesthesia Medical Group LLUMC

  • Anesthesiology Physician
  • Lynwood, CA
  • NPI 1770035024
  Medicare reassignment NPD
• Monterey Anesthesia Professionals

  • Anesthesiology Physician
  • Salinas, CA
  • NPI 1073935250

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Associated Anesthesiologists, SC

  • Anesthesiology Physician
  • Peoria, IL
  • NPI 1023612082
  NPD
• El Segundo Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • El Segundo, CA
  • NPI 1073272811
  NPD (past)
• South Bay Anesthesia Medical Group Inc.

  • Anesthesiology Physician
  • Torrance, CA
  • NPI 1073531836
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1215110580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 E BURNETT ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25825 VERMONT AVE",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907103518",
            "telephone_number": "310-920-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23441 Madison St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054757",
            "country_code": "US",
            "telephone_number": "310-375-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3548",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "556632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "1261768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "I9551971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonny Sue Young Chung, MD
• Gail Chung, PHARMD
• Sook Claire Chung, M.D.
• Wonjae Chung, MD
• Clarity Cove Recovery Inc
• Class a Health Management LLC.
• Claudia Romano-Hoard, D.D.S., a Professional Dental Corporation (Bay Harbor Dental)
• Kathleen D Clutterham, NP
• Anthony Galang Co, RRT
• Coastline Senior Care Solutions Inc

• Certified Registered Nurse Anesthetist in Harbor City, CA
• Providers in Harbor City, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.