Christina Clack, PNP (C)

Individual Active
NPI 1699365601
Pediatric Nurse Practitioner Los Angeles, CA

NPI 1699365601 belongs to Christina Clack, PNP (C), a pediatric nurse practitioner with a practice location in Los Angeles, CA. The NPI was issued on January 23, 2021, and the record was last updated in NPPES on July 17, 2025. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X 95015295 (CA)
Nurse Practitioner 363L00000X 95015295 (CA)

Practice locations

808 W 58th St
Los Angeles, CA 90037-3632
Phone: (323) 541-1600
2601 E Main St Ste 200
Ventura, CA 93003-2801
Phone: (805) 643-7500

Local context

Active NPPES records list 379 providers with pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 195 of them within 10 miles.

The same primary taxonomy is listed by 1,599 in California and 23,965 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Christina Marie Clack
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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