Linda Clark, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP16640 Issued in CA

Practice address

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

Phone

(951) 201-7708

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Linda Clark, NP, Nursing Inc. Other name

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lindaclark@hcpca.allscriptsdirect.net

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.

• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Family Medicine

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1952491797",
    "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",
            "fax_number": "949-520-7329"
        },
        {
            "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": [
        {
            "address_1": "41715 Winchester Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925904808",
            "country_code": "US",
            "telephone_number": "951-676-4193",
            "fax_number": "951-719-1469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LINDA",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "NP16640",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NP16640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP16640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://provider.kareo.com/linda-clark-1#?view=booking#booking",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4630 Campus Dr Ste 112",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926601804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lindaclarknp.com",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Newport Beach",
            "address_1": "4630 Campus Dr Ste 112",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926601804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "CLARK, NP, NURSING INC.",
            "credential": "APRN-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jody Marie Citrigno-Danese, LAC
• City of Hope Medical Foundation
• City of Newport Beach
• Barbara Ann Clark, PSY.D.
• Keren Louise Clark, LMFT
• Matthew H Clark, M.D.
• Sean Paul Clark, D.C.
• Clarke Neurology a Professional Corporation
• Teryn B Clarke, M.D.
• Kerstin Jacqueline Claunch, PA-C

• Family Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.