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

Ellen Margaret Clark, DO

Individual provider Pediatric Radiology Physician · NPI 1174083596

Ellen Margaret Clark, DO is a Diagnostic Radiology in Oakland, California. Graduated from University of New England, College of Osteo Medicine in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
University of New England, College of Osteo Medicine
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3600 Broadway Lowr Level
Oakland, CA 94611-5730
Phone: (510) 752-5991
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 20A23964 (CA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 20A23964 (CA)

Record details

NPI number1174083596
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address3600 Broadway Lowr Level, Oakland, CA 94611-5730

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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