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

Dr. Samuel J. Clark, MD

Individual provider Internal Medicine Physician · NPI 1689611709

Dr. Samuel J. Clark, MD is a Pulmonary Disease in San Diego, California. Graduated from Vanderbilt University School of Medicine in 1992, 34 years ago. Practices with Samuel J Clark MD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Trained at
Vanderbilt University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
4
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

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone: (619) 543-4500
Fax: (619) 295-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence A52335 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A52335 (CA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence A52335 (CA)
Sleep Medicine (Internal Medicine) Physician Taxonomy 207RS0012X · Licence A52335 (CA)

Record details

NPI number1689611709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Samuel J Clark Md Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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