Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174674774 Individual Practitioner Male Practitioner

Clarence Sutton

General Practice • N Hollywood, CA

Professional Overview & Biography Verified Profile Summary

Clarence Sutton is a registered healthcare professional specializing in General Practice in N Hollywood, CA. Practice services are available at 12805 VICTORY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12805 Victory Blvd

N Hollywood, CA 916063012

Telephone 8185065906
Associated Practice Facility / Clinic
🏢 Image M.d. Facility NPI 1104978766

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in N Hollywood, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in N Hollywood, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G74582

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
G74582 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 12805 VICTORY BLVD, N HOLLYWOOD, CA 916063012 (Tel: 8185065906)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12805 VICTORY BLVD, N HOLLYWOOD, CA 916063012 (Tel: 8185065906)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLARENCE SUTTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #G74582 in CA)

🟢
Initial NPI Registration & Enumeration January 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174674774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

12805 Victory Blvd

N Hollywood, CA 916063012

Phone: 8185065906

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.