Clarke Lew Medical Corp
NPI 1205444742 · Community Health Clinic/Center · Fullerton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarke Lew Medical Corp is a Community Health Clinic/Center organization in Fullerton, CA (NPI 1205444742).
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
6 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
Frequently asked questions
- What is Clarke Lew Medical Corp's NPI number?
- Clarke Lew Medical Corp's National Provider Identifier (NPI) is 1205444742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clarke Lew Medical Corp?
- Clarke Lew Medical Corp is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Clarke Lew Medical Corp located?
- Clarke Lew Medical Corp's practice location on file with NPPES is 3535 W Commonwealth Ave, Fullerton, CA 92833-2821.
- What is Clarke Lew Medical Corp's phone number?
- The practice phone number listed in the NPPES registry for Clarke Lew Medical Corp is (949) 273-0555.
- Does Clarke Lew Medical Corp accept Medicare?
- Clarke Lew Medical Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Clarke Lew Medical Corp?
- The authorized official listed on Clarke Lew Medical Corp's NPPES record is Nicole St. Claire, Billing Consultant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clarke Lew Medical Corp's NPI active?
- Yes — Clarke Lew Medical Corp's NPI (1205444742) is active in the NPPES registry as of the last update on 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.