Active NPI
Michelle Clark
- Lactation Consultant (Registered Nurse)
- Corona, CA
National Provider Identifier
1124936349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-313456
- Practice address
- 322 Matterhorn Dr
Corona, CA 92881-8358 - Phone
- (714) 809-2667
- NPI assigned
- Aug 29, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-313456 | CA | Primary |
Addresses
Primary practice location
322 Matterhorn Dr
Corona, CA 92881-8358
Mailing address
322 Matterhorn Dr
Corona, CA 92881-8358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1124936349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 MATTERHORN DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928818358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MATTERHORN DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928818358",
"telephone_number": "714-809-2667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-29",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "L-313456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.