Ryan Patrick Clark, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31890 Issued in CA

Practice address

24953 Paseo de Valencia Ste 6a
Laguna Hills, CA 92653-4342

Phone

(949) 643-5030

NPI assigned

Oct 17, 2011

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Wang Chiropractic IncGroup PAC ID 4688030646, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clark Wang Chiropractic Inc.

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1063123594
  Medicare reassignment Care Compare group NPD Authorized official
• Kathy CHI Kuan Wang, D.C.

  • Chiropractor
  • Laguna Hills, CA
  • NPI 1730478793
  Medicare reassignment
• Bodybalance

  • Chiropractor
  • Cheyenne, WY
  • NPI 1245670231
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1174808588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 6A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-643-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA STE 6A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-643-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda H Chung, M.D.
• Marco Alexander Cianciola, MD
• Clark Wang Chiropractic Inc.
• Helen Patricia Clark, M.A., SLP-CCC
• Lori Lynn Clark
• Katharine Ann Clarke, P.T & PSYCHOLOGIST
• Susan Clarke, L.M.F.T.
• Bianca Clary
• Clayton Thomas Nole D.C.,Chiropractic Corporation
• Sabrina Clemons

• Chiropractor in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.