Natasha Clark, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

95173843 Issued in CA

Practice address

1060 Lincoln Ave Ste 20
Suite 20 #1188
San Jose, CA 95125-3110

Phone

(408) 800-6189

NPI assigned

Jul 4, 2025

Last updated

Jul 4, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1861382509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LINCOLN AVE STE 20",
            "address_2": "SUITE 20 #1188",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LINCOLN AVE STE 20",
            "address_2": "SUITE 20 #1188",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110",
            "telephone_number": "408-800-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NATASHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "95173843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Clark III
• Janice Clark
• Lee Lani Clark
• Leslie Erin Clark, RN, NP
• Linda Catherine Clark
• Richard William Clark, MD
• Rodney Duane Clark, MD
• Rosa Clark
• Sharon L Clark, PH.D.
• Tammi Annette Clark, D.C.

• Pediatric Registered Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatric Registered Nurse in California

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