Reagan Clark, AA

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

300 S Park Ave Ste 750
Pomona, CA 91766-1553

Phone

(909) 326-0337

NPI assigned

Aug 4, 2025

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Associate of Arts

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1275417933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27224 WOODGLEN LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925554534",
            "telephone_number": "951-488-4819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK AVE STE 750",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661553",
            "telephone_number": "909-326-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "REAGAN",
        "credential": "AA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claremont Community Care Clinic
• Claremont Foothills Health Associates LLC (Claremont Care Center)
• Claremont Imaging Associates, a Medical Corporation
• Caroline Clark, BT
• Lisa Clark
• Sir Clark
• Michelle Marie Claustro
• Lance R. Clawson, C.P.O.
• Kristin Clayton, OTR/L
• Miranda Cleary

• Peer Specialist in Pomona, CA
• Providers in Pomona, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.