Clarke Lew Medical Corp
NPI 1205444742 · Community Health Clinic/Center · Fullerton, CA
Provider details
- NPI number
- 1205444742
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole St. Claire, Billing Consultant(949) 633-5535
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Dentist122300000X
Dental Providers
- Registered Nurse163W00000X
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Illumination Foundation Medical Group
- Doing business as
- Illumination Foundation Medical Group
Additional practice locations (1)
- 1815 Carnegie AveSanta Ana, CA 92705-5527Phone: (949) 273-0555
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.