CLINTON RUSSELL STARK D.C.
NPI 1124184593
Chiropractor in Tustin, CA

Active since December 29, 2006
13771 NEWPORT AVE, SUITE 8, TUSTIN, CA 92780(714) 368-7600(714) 368-7630 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinton Russell Stark D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON RUSSELL STARK D.C. (NPI 1124184593) is an individual chiropractor in Tustin, California, licensed in California (DC24623) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1124184593
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameCLINTON RUSSELL STARKCredential: D.C.
Location Address13771 NEWPORT AVE, SUITE 8Tustin, CA 92780-4693
Mailing Address13771 Newport Ave, Suite 8Tustin, CA 92780-4693 · (714) 368-7600 · Fax (714) 368-7630
Fax(714) 368-7630
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124184593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CA · DC24623
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
13771 NEWPORT AVE, Tustin, CA 92780

Other Identifiers 1

Other54220DC0246230CA · Blue Shield Of California

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
13771 NEWPORT AVE, #11
TUSTIN, CA 92780
Dentist
13771 NEWPORT AVE, #11
TUSTIN, CA 92780
Chiropractor
13771 NEWPORT AVE, SUITE 8
TUSTIN, CA 92780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Stark's NPI number?

The NPI number for Clinton Stark is 1124184593. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Clinton Stark located?

Clinton Stark practices at 13771 Newport Ave Suite 8, Tustin, CA 92780. The listed phone number is (714) 368-7600.

What is Clinton Stark's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Clinton Stark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.