Adam Bradley Clark, DO
Individual provider Active NPI Family Medicine Physician · Simi Valley, CA
NPI 1861865610 · NPPES record last updated Jun 28, 2024
Key facts
- NPI
- 1861865610
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A16957 (CA)
- Practice address
- 2876 Sycamore Dr Ste 101
Simi Valley, CA 93065-1550 - Phone
- (805) 527-0115
- Fax
- (805) 522-0115
- NPI assigned
- Nov 2, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health Physicians Network
Galen Inpatient Physicians PC
Practice addresses (Care Compare)
124 Macaw LN
Simi Valley, CA 93065-3152
Phone (805) 306-0304
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000
2950 Sycamore Dr
Simi Valley, CA 93065-1210
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000
Hospital & facility affiliations
- We Care Home Health, Inc
- Adventist Health Home Care Services
- Hand in Heart Home Health Inc
- Unlimited Care Home Health, Inc.
- Access TLC Home Health Care
- Adventist Health Simi Valley
- Los Robles Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200828001494 | CA | Practitioner - Emergency Medicine |
6406273986 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A16957 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Menalam Health Services PC | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Family Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Galen Inpatient Physicians PC. | Hospitalist | Current |
Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Menalam Health Services PC | Hospitalist | Current |
Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Jonathan Nasseri MD Corp | Family Medicine | Current |
Accepting new patients |
| Family Practice of Glendale a Medical Corporation | Family Medicine | Past |
Accepting new patients |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients | |
| Stepanyan | Past | Accepting new patients |
Locations
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2876 Sycamore Dr
Ste 101
Simi Valley, CA 93065
Phone (805) 527-6424
124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304
2950 Sycamore Dr
Ste 300
Simi Valley, CA 93065
Phone (805) 526-0226
2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500
1534 N Moorpark Rd
Thousand Oaks, CA 91360
Phone (805) 497-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A16957 | CA | Yes |
| Hospitalist Physician | 208M00000X | A16957 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2876 Sycamore Dr Ste 101
Simi Valley, CA 93065-1550
Mailing address
2876 Sycamore Dr Ste 101
Simi Valley, CA 93065-1550
Phone (805) 527-0115
Other providers in Simi Valley, CA
- Cindys Breastfeeding Solutions
- Circle of Care Transportation LLC
- City of Dreams Home Health Care Inc.
- City Stations, Inc.
- Debbie Ciulla
- Alice Clark
- Clayton Hinshaw M.D., Inc
- Brian Charles Clements
- Sarah Clifford
- Clinicas del Camino Real Inc
All providers in Simi Valley, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.