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LORI CLARK M.D., INC.
NPI 1619908589
Internal Medicine in Laguna Hills, CA

Active since July 06, 2006
23521 PASEO DE VALENCIA STE 108, LAGUNA HILLS, CA 92653(949) 588-7262(949) 588-7260 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lori Clark M.d., Inc. NPPES

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

LORI CLARK M.D., INC. (NPI 1619908589) is a healthcare organization registered as an internal medicine in Laguna Hills, California and active in the NPI registry since July 2006. The organization lists Lori Lynn Clark, Physician, as its authorized official.

NPPES Registry Identity

NPI1619908589
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLORI CLARK M.D., INC.
Location Address23521 PASEO DE VALENCIA STE 108Laguna Hills, CA 92653-3137
Mailing Address23521 Paseo De Valencia Ste 108Laguna Hills, CA 92653-3137 · (949) 588-7262 · Fax (949) 588-7260
Phone(949) 588-7262
Fax(949) 588-7260
Organization SubpartNo
Authorized OfficialLori Lynn ClarkPhysician · (949) 588-7262
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1619908589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A82608
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
23521 PASEO DE VALENCIA STE 108, Laguna Hills, CA 92653
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Other Identifiers 5

Other00A82608CA · Caloptima Direct
Other=========018CA · Bluecross/blueshield Of W
Other00A826080CA · Blue Shield Of Ca
Medicare PINW19762CA
Medicaid00A826080CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Clark M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lori Clark M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lori Clark
Internal Medicine
NPI 1972634897
23521 PASEO DE VALENCIA SUITE 108
Laguna Hills, CA 92653
(949) 588-7262
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lori Clark M.D., Inc.'s NPI number?

The NPI number for Lori Clark M.D., Inc. is 1619908589. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Lori Clark M.D., Inc. located?

Lori Clark M.D., Inc. is located at 23521 Paseo De Valencia Ste 108, Laguna Hills, CA 92653. The listed phone number is (949) 588-7262.

What is Lori Clark M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lori Clark M.D., Inc. enrolled in Medicare?

Yes. Lori Clark M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lori Clark M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Lori Clark M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lori Clark M.D., Inc. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.