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

Dr. Peter Clark, MD

Individual provider Family Medicine Physician · NPI 1528113628

Dr. Peter Clark, MD is a Family Practice in Mammoth Lakes, California. Graduated from Temple University School of Medicine in 1996, 30 years ago. Practices with Southern Mono Health Care District, a 94-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Trained at
Temple University School of Medicine
Licensed in
CA
In the registry since
2007
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

85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Phone: (760) 934-2551
Fax: (760) 924-4081
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A68635 (CA)

Record details

NPI number1528113628
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 25, 2007
Last updated in NPPESMarch 7, 2013
Mailing addressPo Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Southern Mono Health Care District — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mammoth Lakes