Camellia P Clark MD Inc
NPI 1689421471 · Psychiatry Physician · San Diego, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Camellia P Clark MD Inc is a Psychiatry Physician organization in San Diego, CA (NPI 1689421471).
Provider details
- NPI number
- 1689421471
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Camellia Clark, Owner(858) 263-5947
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2024-05-01
- Last updated
- 2024-05-01
- Certified
- 2024-04-22
Frequently asked questions
- What is Camellia P Clark MD Inc's NPI number?
- Camellia P Clark MD Inc's National Provider Identifier (NPI) is 1689421471, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Camellia P Clark MD Inc?
- Camellia P Clark MD Inc is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Camellia P Clark MD Inc located?
- Camellia P Clark MD Inc's practice location on file with NPPES is 11515 El Camino Real, San Diego, CA 92130.
- What is Camellia P Clark MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Camellia P Clark MD Inc is (858) 263-5947.
- Does Camellia P Clark MD Inc accept Medicare?
- Camellia P Clark MD Inc 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 Camellia P Clark MD Inc?
- The authorized official listed on Camellia P Clark MD Inc's NPPES record is Camellia Clark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Camellia P Clark MD Inc's NPI active?
- Yes — Camellia P Clark MD Inc's NPI (1689421471) is active in the NPPES registry as of the last update on 2024-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.