AUTUMN P. CLOS MD – NPI #1730285123
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

AUTUMN CLOS is a physician located in YUCAIPA, CA. NPPES has assigned the NPI number 1730285123 to AUTUMN CLOS on September 15, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 8 years ago on Sep 04, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTUMN CLOS below.

NPI Profile for
AUTUMN P. CLOS

NPI Number
1730285123
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AUTUMN P. CLOS
Credentials
MD
Primary location
33353 YUCAIPA BLVD
YUCAIPA, CA 92399
Phone: (909) 790-7900 Fax:
2 Other location(s):
1441 Constitution Blvd
Ste 200
Salinas, CA 93906-3100
Phone: (831) 755-4124
8921 Southpointe Dr Ste A1
Indianapolis, IN 46227-1085
Phone: (317) 884-7820
Fax: (317) 888-8851
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for AUTUMN CLOS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCALIFORNIA CHILDREN'S SERVICES (CCS)CA1730285123
OTHERNPI1730285123
MEDICAIDIN300002637
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA C54711

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.