Mariam Clark
NP | Nurse Practitioner - Family | 12+ years Exp
3612 1/2 E 1st St, Los Angeles
California, 90063-2326
323-264-7796
Mariam Clark is a Los Angeles, California based nurse practitioner with 12 years of experience in Family. She completed her graduation in 2013. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mariam Clark is 95000880 for Family in California. Her current practice location is 3612 1/2 E 1st St, Los Angeles. Patients can reach her at 323-264-7796. Mariam Clark is NP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1619370194.
Mariam Clark delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Mariam Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mariam Clark |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | NP |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 3612 1/2 E 1st St, Los Angeles,
California, 90063-2326 |
| Phone: | 323-264-7796 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6800118431 |
| Enrollment ID: | I20141209001793 |
| NPI Number: | 1619370194 |
| NPI Enumeration Date: | 29 Sep, 2014 |
| NPI Last Update On: | 14 Mar, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mariam Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 95000880 | Family | California | Primary | |
| F0714462 | Family | California | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mariam Clark is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| California Wound Healing Medical (7315033198) | 5 |
| Wound Healing Care Specialists Inc (5698019602) | 16 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mariam Clark
6551 Harrington Ct,
Chino, California |
| Zip: | 91710-7376 |
| Phone Number: | 909-613-9238 |
Patients can reach Mariam Clark at
3612 1/2 E 1st St, Los Angeles, California or can
call to book an appointment on 323-264-7796.
Comments/ Reviews:
Patients can read all the reviews posted for Mariam Clark below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Mariam Clark. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.