Mariam Clark, NP
NPI 1619370194 · Family Nurse Practitioner · Los Angeles, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mariam Clark, NP is a Family Nurse Practitioner provider in Los Angeles, CA (NPI 1619370194).
Provider details
- NPI number
- 1619370194
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- F0714462 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
4,759 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Removal of Muscle And/Or Tissue, Each Additional 20.0 Sq Cm Or Less11046 | 677 | $49 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 616 | $68 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 582 | $68 |
| Removal of Skin and Tissue, Each Additional 20.0 Sq Cm Or Less11045 | 483 | $23 |
| Removal of Muscle And/Or Tissue, 20.0 Sq Cm Or Less11043 | 426 | $139 |
| Removal of Skin and Tissue, 20.0 Sq Cm Or Less11042 | 398 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Collagenase Clostridium Hist.brand: Santyl | 76 | 48 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$204 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 6551 Harrington CtChino, CA 91710-7376Phone: (909) 613-9238
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2022-03-14
- Certified
- 2022-03-14
Frequently asked questions
- What is Mariam Clark's NPI number?
- Mariam Clark's National Provider Identifier (NPI) is 1619370194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariam Clark's specialty?
- Mariam Clark is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mariam Clark located?
- Mariam Clark's practice location on file with NPPES is 3612 1/2 E 1st St, Los Angeles, CA 90063-2326.
- What is Mariam Clark's phone number?
- The practice phone number listed in the NPPES registry for Mariam Clark is (323) 264-7796.
- Does Mariam Clark accept Medicare?
- Mariam Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mariam Clark's NPI active?
- Yes — Mariam Clark's NPI (1619370194) is active in the NPPES registry as of the last update on 2022-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.