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Physician Profile

Ellen M. Clark, DO

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At a glance

About Dr. Clark

Based in Oakland, CA, Ellen M. Clark, DO is listed in the NPI registry under diagnostic radiology. Ellen graduated from University of New England, College of Osteo Medicine in 2019. Ellen is also listed as specializing in radiology. NPI 1174083596 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

PA · Osteopathic Physician and Surgeon 20AOsteopathic Medical Board of California
No. 23964CurrentExpires Mar 2027Since 2025
CA licenceAs reported to the NPI registry
No. 20A23964As reported
NPINational Provider Identifier
1174083596Issued 2019

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Dr. Clark?

Dr. Clark is a radiologist in Oakland, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Diagnostic Radiology”.

NPI registry

What is Dr. Clark's address?

Dr. Clark is listed at 3600 Broadway Lowr Level, Oakland, CA 94611. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Clark?

The number on file is (510) 752-5991. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Dr. Clark's NPI number?

Dr. Clark's National Provider Identifier is 1174083596. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Dr. Clark train?

Dr. Clark attended University of New England, College of Osteo Medicine, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Dr. Clark been practicing?

Dr. Clark has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Has Dr. Clark confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Clark. If this is you, claiming it is free.

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