Individual provider Active NPI

Mark P. Clark, MD

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1891874665
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G50527 Issued in CA
Practice address
3746 Foothill Blvd # B140
Glendale, CA 91214-1740
Phone
(310) 445-5999
Fax
(323) 544-4248
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G50527 CA Primary
Hospitalist Physician 208M00000X G50527 CA

Addresses

Primary practice location

3746 Foothill Blvd # B140
Glendale, CA 91214-1740

Mailing address

3746 Foothill Blvd # B140
Glendale, CA 91214-1740
Phone (310) 445-5999

Other practice location 1

840 Irving St
San Francisco, CA 94122-2311
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20160323001860 CA Practitioner - Internal MedicinePractitioner - General Surgery 2163610205 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

375 Laguna Honda Blvd
San Francisco, CA 94116-1411
Phone (415) 759-2300

840 Irving St
San Francisco, CA 94122-2311
Phone (415) 590-6140

Hospital & facility affiliations

  • Laguna Honda Hospital & Rehabilitation Center Hospital, San Francisco, CA, CCN 050668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jul 1, 2025 Accepting new patients
One Medical Group, Inc. Internal Medicine CurrentSince Nov 17, 2025 Accepting new patients
Skilled Biologics, Inc. CurrentSince Oct 11, 2025 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Jul 1, 2025 Accepting new patients
One Medical Group, Inc Internal Medicine CurrentSince Nov 17, 2025 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

5455 S Centinela Ave
Los Angeles, CA 90066

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

840 Irving St
San Francisco, CA 94122
Phone (415) 590-6140

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

Interoperability endpoints

  • Direct secure messaging: mclark42763@ehr.johnmuirhealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1891874665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 FOOTHILL BLVD # B140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3746 FOOTHILL BLVD # B140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Irving St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941222311",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARK",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50527",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G50527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.