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

Dr. Stevan Ray Clark, MD

Individual provider Specialist · NPI 1376616227

Dr. Stevan Ray Clark, MD is a General Surgery in Los Angeles, California. Graduated from University of California, Geffen School of Medicine in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2006
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

10220 S Western Ave
Los Angeles, CA 90047-4258
Phone: (323) 757-1744
Fax: (323) 757-3818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G63102 (CA)

Record details

NPI number1376616227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesGENERAL PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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