Clear Care Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CLEAR CARE CENTER LLC

Practice address

14742 Newport Ave Ste 209
Tustin, CA 92780-6177

Phone

(855) 968-3522

NPI assigned

Oct 14, 2021

Organization subpart

No

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

Authorized official

Name

Isaac Martinez

Title

Ceo

Phone

(855) 968-3522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1982367157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY # 713",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14742 NEWPORT AVE STE 209",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806177",
            "telephone_number": "855-968-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-968-3522"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula C. Clark, M.A.
• Ashley N Clarke
• Patrick Elvin Clarke, M.D.
• Christina Maria Clayton, RN
• Victoria Isabel Clayton, LMFT
• Tammy Gay Cleary
• Keelyn M Clemence
• Elaine Clough, MFT
• Jenny Co
• Michael Santos Co, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.