MATTHEW HOUSTON CLARK MD INC (NPI# 1679801229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679801229 |
| Entity Type | Organization |
| Organization Name | MATTHEW HOUSTON CLARK MD INC |
| Other Organization Name | THE CLARK CENTER FOR UROGYNECOLOGY |
| Practice Address |
520 Superior Ave Suite 225 Newport Beach CA 92663-3637 |
| Practice Telephone | 9493600300 |
| Mailing Telephone | 9493600300 |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | DR. MATTHEW H. CLARK (OWNER) |
| Authorized Official Telephone | 9493600300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Clark Center for Urogynecology | Doing Business As Name - Organization |
| Street Address |
520 SUPERIOR AVE SUITE 225 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536773 | Khosrow Mahdavi | Specialist | 520 Superior Ave, #315, Newport Beach, CA 92663-3637 | 2005-05-27 |
| 1770113623 | Kelly Watkins | Family Medicine | 520 Superior Ave, Newport Beach, CA 92663-3637 | 2020-01-20 |
| 1548819071 | Care Connectors Affiliated Physicians Inc | Clinic/Center | 520 Superior Ave, Suite 250, Newport Beach, CA 92663 | 2019-09-07 |
| 1275189813 | Kerry Lamb | Physician Assistant | 520 Superior Ave, Newport Beach, CA 92663-3637 | 2019-08-09 |
| 1649714627 | Eugene Alexander Yamamoto | Physician Assistant | 520 Superior Ave, #270, Newport Beach, CA 92663-3637 | 2016-12-11 |
| 1659727865 | Ralli and Grewal Apc | Internal Medicine | 520 Superior Ave, Suite 390, Newport Beach, CA 92663-3637 | 2016-05-05 |
| 1083020606 | Li Si Zeng | Physician Assistant | 520 Superior Ave, Suite 270, Newport Beach, CA 92663-3637 | 2014-07-02 |
| 1376960443 | Spn Medical Consulting | Clinic/Center | 520 Superior Ave, Suite 350, Newport Beach, CA 92663-3637 | 2014-03-26 |
| 1275955668 | David R Reinstadler M.d. Inc | Otolaryngology | 520 Superior Ave, Suite 240, Newport Beach, CA 92663-3637 | 2014-01-20 |
| 1821426537 | John C Champion Md | Internal Medicine | 520 Superior Ave, Suite 290, Newport Beach, CA 92663-3637 | 2013-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003230673 | Gail Hebel | Obstetrics & Gynecology | 1024 Bayside Dr, Newport Beach, CA 92660-7462 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503618 | Women's Center for Pelvic Wellness | Obstetrics & Gynecology | 50 Alessandro Pl Ste 420, Pasadena, CA 91105-3173 | 2018-10-11 |
| 1861865479 | Pacific Gynecology Surgical Group Inc | Obstetrics & Gynecology | 2100 Webster St Ste 518, San Francisco, CA 94115-2382 | 2015-11-04 |
| 1265708655 | Aldene Zeno | Obstetrics & Gynecology | 1516 San Pablo Street 3rd Floor, Los Angeles, CA 90089-0121 | 2012-03-29 |
| 1891081253 | Soorena Fatehchehr | Obstetrics & Gynecology | 529 E 10th St Fl 2, Long Beach, CA 90813-4508 | 2011-06-23 |
| 1740509728 | Zaid Chaudhry | Obstetrics & Gynecology | 1135 S Sunset Ave Ste 408, West Covina, CA 91790-3964 | 2010-05-31 |
| 1578716304 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave Ste 370, Modesto, CA 95350 | 2008-10-24 |
| 1891942512 | Christina Liao | Obstetrics & Gynecology | 1000 W Carson St # 489, Torrance, CA 90502-2004 | 2008-08-25 |
| 1124280581 | Benjamin J. Steinberg | Obstetrics & Gynecology | 7050 N Recreation Ave Ste 105, Fresno, CA 93720-8001 | 2008-06-27 |
| 1033266879 | Mariann Alperin | Obstetrics & Gynecology | 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037 | 2007-01-04 |
| 1225103831 | Kerrie Lynn Adams | Obstetrics & Gynecology | 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.