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

Dr. David Thomas Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104289495

Dr. David Thomas Clark, MD is an Emergency Medicine in Whittier, California. Qualified in 2016, 10 years ago. Practices with Central Coast Emergency Physicians, a 25-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
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

12401 Washington Blvd
Whittier, CA 90602-1006
Phone: (562) 698-0811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 501 S Buena Vista St, Burbank, CA 91505-4809 — (818) 843-5111
  • 1200 N State St, Los Angeles, CA 90033-1029 — (315) 272-6903

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 150625 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104289495
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2016
Last updated in NPPESAugust 10, 2020
Certification dateAugust 10, 2020
Mailing address12041 Washington Blvd, Whittier, CA 90606-2609

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Central Coast Emergency Physicians — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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