Individual provider Active NPI

Clint Nacar, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cerritos, CA
National Provider Identifier
1609466259
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95016390 Issued in CA
Practice address
18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684
Phone
(657) 549-0361
NPI assigned
Jan 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95016390 CA Primary

Addresses

Primary practice location

18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684

Mailing address

18000 Studebaker Rd Ste 700
Cerritos, CA 90703-2684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408000601 CA Practitioner - Nurse Practitioner 1153738232 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health and Nursing PCGroup PAC ID 5294151635, 10 clinicians

Practice addresses (Care Compare)

421 N Brookhurst St
Suite 119
Anaheim, CA 92801-5618
Phone (714) 361-0898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016390CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health and Nursing PC Psychiatric/Mental Health CurrentSince Oct 1, 2021 Accepting new patients
Renewed Medical Group, a Professional Medical Corporation Psychiatric/Mental Health CurrentSince Jun 5, 2024 Accepting new patients
RCMH, Nursing Corporation Psychiatric/Mental Health CurrentSince Nov 25, 2025 Accepting new patients
Coast Medical, PC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Renewed Community Mental Health Psychiatric/Mental Health CurrentSince Jan 5, 2025 Accepting new patients

Locations

1720 W Ball Rd
Ste 4C
Anaheim, CA 92804
Phone (714) 683-1472

421 N Brookhurst St
Ste 119
Anaheim, CA 92801
Phone (714) 253-6570

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

520 N Brookhurst St
Ste 120
Anaheim, CA 92801
Phone (714) 333-3559

5871 Pine Ave
Ste 120
Chino Hills, CA 91709
Phone (714) 683-1472

6101 Ball Rd
Ste 214
Cypress, CA 90630
Phone (714) 333-3559

11278 Los Alamitos Blvd
Los Alamitos, CA 90720
Phone (562) 256-6481

1800 Wilshire Blvd
Los Angeles, CA 90057
Phone (213) 478-0460

1131 W 6th St
Ste 232
Ontario, CA 91762
Phone (714) 361-0898

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1609466259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 STUDEBAKER RD STE 700",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032684",
            "telephone_number": "657-549-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACAR",
        "first_name": "CLINT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.