CLARK SANTEE (MD) – Family Medicine Physician, NPI 1215564190

CLARK SANTEE (MD) is a healthcare provider. based in San francisco, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A187946 (CA). The NPI Number for CLARK SANTEE (MD) is 1215564190

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CLARK SANTEE (MD)
NPI
1215564190
Phone
(415) 552-3870
Address
240 SHOTWELL ST
Enumeration Date
23 March 2020
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
F H NETTER, M.D. SCHOOL OF MED AT QUINNIPIAC UNIV
Secondary Phone
41558268172548
Graduation Year
2020 (6 years ago)
PAC ID
5496104309
Group Practice PAC ID
1153302419
Professional Enrollment ID
I20231218000335
Address ID
CA941101323SA240XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

13,237 FAMILY PRACTICE in CA

Provider Addresses for CLARK SANTEE (MD)

  • 240 SHOTWELL ST

    SAN FRANCISCO, CA 941101323

    Phone: (415) 552-3870

    Type: Mailing

  • 165 CAPP ST

    SAN FRANCISCO, CA 941101209

    Phone: (415) 510-8282

    Fax: (415) 552-3998

    Type: Location

  • 240 Shotwell St

    San Francisco, CA 941101323

    Phone: (415) 552-3870

    Fax: (415) 552-3446

    Type: Location

  • 3569 ROUND BARN CIR STE 200

    SANTA ROSA, CA 954035784

    Phone: (707) 583-8800

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-05-25 • Largest payer in this snapshot: Gilead Sciences, Inc. ($52).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$52
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231218000335IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153302419View full group profile
NameSpecialtyState
Clinical Social WorkerCA
Internal MedicineCA
Registered Dietitian Or Nutrition ProfessionalCA
Internal MedicineCA
Certified Nurse Midwife (Cnm)CA
O P T O M E T R YCA
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for CLARK SANTEE (MD) in U.S. healthcare records?
The official identifier for CLARK SANTEE (MD) is NPI 1215564190.
Is CLARK SANTEE (MD) still an active registrant?
CLARK SANTEE (MD) carries an active NPI according to the public dataset.
What area of care is associated with CLARK SANTEE (MD)?
CLARK SANTEE (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CLARK SANTEE (MD) located near San Francisco?
CLARK SANTEE (MD) currently maps to San Francisco, California in this extract.
When was this NPI issued?
Enumeration for CLARK SANTEE (MD) is noted as March 23, 2020 where the registry provides it.

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