Michael B Clearfield, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A9719 Issued in CA

Practice address

365 Tuolumne St
Vallejo, CA 94590-5700

Phone

(707) 784-2001

Fax

(707) 784-1494

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1689638561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DRIVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94592",
            "telephone_number": "707-638-5205",
            "fax_number": "707-638-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905700",
            "telephone_number": "707-784-2001",
            "fax_number": "707-784-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARFIELD",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F5869",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134699104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce C. Clark, MD
• Cristen Clark
• Michael S. Clark, MD
• Jennifer Lee Clary, RD
• Michael Sutherland Clauson, L.AC.
• Meaghn Clifford
• Suzanne Clift, DDS
• Lisa Clinton
• Anjuli Clopper, LPCC
• Rachel Close

• Internal Medicine Physician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.