CLARK JUAN BISHOP (PA-C) – Physician Assistant, NPI 1861716045

CLARK JUAN BISHOP (PA-C) is a healthcare provider. based in Stanford, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 20858 (CA). The NPI Number for CLARK JUAN BISHOP (PA-C) is 1861716045

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
CLARK JUAN BISHOP (PA-C)
NPI
1861716045
Phone
(650) 723-4000
Address
300 PASTEUR DR
Enumeration Date
17 March 2010
Last Update Date
18 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507234000
Graduation Year
2010 (16 years ago)
PAC ID
1557553021
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20101004000435
Address ID
CA943052200ST300XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for CLARK JUAN BISHOP (PA-C)

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Location

  • 525 South Dr Ste 211

    Mountain View, CA 940404211

    Phone: (408) 495-5770

    Fax: (650) 912-1129

    Type: Location

  • 827 Altos Oaks Dr Ste 4

    Los Altos, CA 940245490

    Phone: (408) 495-5770

    Fax: (650) 912-1129

    Type: Location

  • 245 UNION AVE APT A1001

    CAMPBELL, CA 950083524

    Phone: (916) 337-6353

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $241.

Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($80).

Total Amount

$241

General + Research + Ownership

Payments

11

Total payment records

General Amount

$241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-10-04

PECOS data refreshed: 2026-05-27

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
I20101004000435IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,12025$0
J2795Injection, ropivacaine hydrochloride, 1 mg85025$0
99214Established patient office or other outpatient visit, 30-39 minutes3736$0
20610Aspiration and/or injection of fluid from large joint3128$0
99213Established patient office or other outpatient visit, 20-29 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 94305)

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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: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

What is the registry number for CLARK JUAN BISHOP (PA-C)?
The registry entry for CLARK JUAN BISHOP (PA-C) shows NPI 1861716045.
Is CLARK JUAN BISHOP (PA-C)'s NPI status active today?
Active status means CLARK JUAN BISHOP (PA-C)'s NPI record is not deactivated in the public file.
What services align with CLARK JUAN BISHOP (PA-C)'s listing?
CLARK JUAN BISHOP (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CLARK JUAN BISHOP (PA-C)?
CLARK JUAN BISHOP (PA-C) is associated with Stanford, California in the same public data insurers reference.
Who maintains CLARK JUAN BISHOP (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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