Organization Active NPI

Nancy Clark & Associates

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
National Provider Identifier
1619056645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NANCY CLARK & ASSOCIATES
Practice address
471 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4235
Phone
(949) 631-0550
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nancy K Clark
Title
Executive Director
Phone
(949) 631-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

471 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4235

Mailing address

471 Old Newport Blvd
Suite 101
Newport Beach, CA 92663-4235

National Provider Directory

National Provider Directory

Locations

471 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (818) 766-2306

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619056645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 OLD NEWPORT BLVD",
            "address_2": "SUITE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 OLD NEWPORT BLVD",
            "address_2": "SUITE 101",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634235",
            "telephone_number": "949-631-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY CLARK & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-631-0550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.