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

Dr. Julie D Clark, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1346216389

Dr. Julie D Clark, MD is an Obstetrics/Gynecology in Petaluma, California. Graduated from New York Medical College in 2001, 25 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
25
Trained at
New York Medical College
Licensed in
CA, NY
In the registry since
2006
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

1550 Professional Dr Ste A Ste 100
Petaluma, CA 94954-6655
Phone: (707) 763-2900
Fax: (707) 763-2990
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A98041 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 231988 (NY)

Record details

NPI number1346216389
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESOctober 20, 2021
Certification dateOctober 20, 2021

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2001 (25 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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