Teryn B Clarke, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A72641 Issued in CA

Practice address

400 Newport Center Dr Ste 310
Newport Beach, CA 92660-7636

Phone

(949) 644-1943

Fax

(949) 644-1911

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William R. Shankle MD Inc.

  • Neurology Physician
  • Newport Beach, CA
  • NPI 1265078786
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1174543169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607636",
            "telephone_number": "949-644-1943",
            "fax_number": "949-644-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607636",
            "telephone_number": "949-644-1943",
            "fax_number": "949-644-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "TERYN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A72641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keren Louise Clark, LMFT
• Linda Clark, APRN-BC
• Matthew H Clark, M.D.
• Sean Paul Clark, D.C.
• Clarke Neurology a Professional Corporation
• Kerstin Jacqueline Claunch, PA-C
• William Touchstone Clayton, MD
• Clear Mind Marriage and Family Therapy, Inc (Clear Mind Therapy)
• Joy Ostensen Cleary, LCSW, PPSC
• Freda Summer Cleveland

• Neurology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.