Clint Lewis

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-TXYKMF Issued in CA

Practice address

58457 29 Palms Hwy Ste 102B
Yucca Valley, CA 92284-5879

Phone

(951) 316-8760

NPI assigned

Aug 28, 2019

Last updated

May 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1871141283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY STE 102B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY STE 102B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879",
            "telephone_number": "951-316-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CLINT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-TXYKMF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sbcounty.gov/dbh",
            "affiliation": "N",
            "address_1": "850 E Foothill Blvd",
            "city": "Rialto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923765230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pacificclinics.org",
            "affiliation": "N",
            "endpointDescription": "Pacific Clinics Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "58457 29 Palms Hwy Ste 102B",
            "city": "Yucca Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922845879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nelson Leon
• Karen Lesko
• Robert Timothy Lester
• Fredi Ruth Levitt
• Howard Phillip Levy, D.O.
• Tania Leysen
• Lifeline Marketing Group, LLC Kenneth M Folwell Sole MBR
• Ellen Frances Liguori, NP-C
• Susan F Lilly, M.S., MFT
• Tonya Linde

• Peer Specialist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.