Clark Stuart Paddock, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A51251 Issued in CA

Practice address

23962 Alicia Pkwy
Suite I1
Mission Viejo, CA 92691-3940

Phone

(949) 452-7699

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

University of Texas Southwestern Medical School at Dallas, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bexar Emergency Physicians PLLCGroup PAC ID 4981049129, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

Merit-based Incentive Payment System (MIPS)

Final score

95.62 of 100Reported as group

Quality

92.03

Improvement activities

40

Cost

85.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clark.paddock@direct.stjohnhealthsystem.com
• Direct secure messaging: cpaddock420473@christushealth.direct-ci.net

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.

• Bexar Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1548034994
  Medicare reassignment Care Compare group NPD
• Comal Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • San Marcos, TX
  • NPI 1588438675
  Medicare reassignment NPD
• Victoria Emergency Associates LLC

  • Emergency Medicine Physician
  • Victoria, TX
  • NPI 1407917164
  Medicare reassignment NPD
• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment NPD
• Mission Viejo Emergency Medical Associates

  • Emergency Medicine Physician
  • Mission Viejo, CA
  • NPI 1073542916
  NPD (past)

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

• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1194787218
  Care Compare affiliation

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1497784110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 N HELIOTROPE DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062538",
            "telephone_number": "714-624-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23962 ALICIA PKWY",
            "address_2": "SUITE I1",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913940",
            "telephone_number": "949-452-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "CLARK",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A51251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A512510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Solstice LLC
• Pacific Sun Senior Care
• Pacifica Home Care III
• Pacifica Home Care LLC
• David M Packard, MD
• Padideh Shafiei, DMD
• Mehri Pahlavani, CRNA
• Marcelle A Paja, PT
• Peter Sungjin Pak, M.D.
• Rebecca Ann Pak, CPNP-PC

• Emergency Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.

Verify at the official NPI Registry.