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

Dr. Bhavishya Surapaneni Clark, MD

Individual provider Otolaryngology Physician · NPI 1144677691

Dr. Bhavishya Surapaneni Clark, MD is a Pain Management in San Luis Obispo, California. Graduated from New York Medical College in 2016, 10 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Trained at
New York Medical College
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 Casa St Ste 130
San Luis Obispo, CA 93405-1887
Phone: (805) 541-1422
Fax: (805) 541-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N State St, Los Angeles, CA 90033-1029 — (323) 442-4830

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 155364 (CA)

Record details

NPI number1144677691
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2016
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2016 (10 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in San Luis Obispo