Organization Active NPI

Linda Clark, NP, Nursing Inc.

  • Primary Care Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1811572282
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
LINDA CLARK, NP, NURSING INC.
Practice address
4630 Campus Dr Ste 112
Newport Beach, CA 92660-1804
Phone
(951) 201-7708
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Linda Clark, APRN-BCNPI 1952491797
Title
Owner
Phone
(949) 247-6546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

4630 Campus Dr Ste 112
Newport Beach, CA 92660-1804

Mailing address

1950 Port Locksleigh PL
Newport Beach, CA 92660-6616
Phone (951) 201-7708

National Provider Directory

National Provider Directory

Locations

4630 Campus Dr
Ste 112
Newport Beach, CA 92660
Phone (949) 247-6546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1811572282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 PORT LOCKSLEIGH PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606616",
            "telephone_number": "951-201-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 CAMPUS DR STE 112",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601804",
            "telephone_number": "951-201-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA CLARK, NP, NURSING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-247-6546",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "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 Mar 16, 2021; 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.