Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarke Lew Medical Corp

Organization Addiction (Substance Use Disorder) Counselor · NPI 1205444742

Clarke Lew Medical Corp is an Addiction (Substance Use Disorder) Counselor in Fullerton, California. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
13
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3535 W Commonwealth Ave
Fullerton, CA 92833-2821
Phone: (949) 273-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1815 Carnegie Ave, Santa Ana, CA 92705-5527 — (949) 273-0555

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X
Dentist Taxonomy 122300000X
Registered Nurse Taxonomy 163W00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1205444742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole St. Claire — Billing Consultant · (949) 633-5535
Other names Illumination Foundation Medical Group; Illumination Foundation Medical Group
NPI enumeratedJuly 21, 2020
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address3535 W Commonwealth Ave, Fullerton, CA 92833-2821

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