Champagne Clark

ActiveIndividual ProviderSpecialty not listed
NPI issued: July 20, 2018

Quick Facts

NPI Number
1306323563
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy390200000X — Specialty not listed
Phone
(916) 403-2990
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1306323563)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 20, 2018)
Data source: CMS NPPES

Provider Overview

CHAMPAGNE CLARK is a Healthcare provider based in West Sacramento, CA who has been registered with CMS since 2018. They are affiliated with The Permanente Medical Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1306323563
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateJuly 20, 2018

Practice Location

CityWest Sacramento
StateCA
ZIP Code95605-2349
Phone(916) 403-2990

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code390200000X
License StateCA

Mailing Address

CityWest Sacramento
StateCA
ZIP Code95605-2349
Phone(916) 403-2990
Same as practice location

Hospital & Organization Affiliations

🏢

The Permanente Medical Group

📍 Sacramento, CA

Hospital NPIY→

How to Use This NPI

📋

For Insurance Billing

Use NPI 1306323563 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1306323563for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1306323563 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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People Also Ask

What is Champagne Clark's NPI number?
Champagne Clark's NPI number is 1306323563, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Champagne Clark's NPI currently active?
Yes, Champagne Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Champagne Clark specialize in?
Champagne Clark specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 390200000X.
Where does Champagne Clark practice?
Champagne Clark practices in West Sacramento, CA 95605-2349.
When was Champagne Clark's NPI issued?
Champagne Clark's NPI was issued on July 20, 2018.
What is Champagne Clark's provider type?
Champagne Clark is registered as an Individual Provider under CMS NPI Type 1.