Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083774582 Individual Practitioner Female Practitioner

Kathleen Marie Clark , MSN FNP C

Nurse Practitioner • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Kathleen Clark, MSN FNP C is a registered healthcare professional specializing in Nurse Practitioner in Long Beach, CA. Practice services are available at 1250 BELLFLOWER BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1250 Bellflower Blvd
Shs

Long Beach, CA 908400201

Telephone 5629855146
Fax 5629858404

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
93 Specialists

Practicing in Long Beach, CA (8378 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 16395

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Fred Nakamura , MD

General Practice

NPI 1164582672

Doctor of Medicine (M.D.)

Dr. Nancy Evans , MD

Radiology - Diagnostic Radiology

NPI 1215097712

Doctor of Medicine (M.D.)

Rodney Tyson , PA-C

Physician Assistant - Medical

NPI 1396805800

Physician Assistant (Certified)

NPI 1700946209

Doctor of Osteopathic Medicine (D.O.)

Rachel Maciel , FNP

Nurse Practitioner

NPI 1750441259

Family Nurse Practitioner

Laurel Babcock Gill , NP

Nurse Practitioner

NPI 1760542252

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1250 BELLFLOWER BLVD, SHS, LONG BEACH, CA 908400201 (Tel: 5629855146)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3247 CHATWIN AVE, SHS, LONG BEACH, CA 90808 (Tel: 5623546083)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN CLARK, MSN FNP C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #16395 in CA)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083774582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3247 Chatwin Ave, Shs

Long Beach, CA 90808

Phone: 5623546083

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.