1. Home
  2. Directory
  3. California
  4. Newport Beach
  5. Obstetrics Gynecology
  6. NPI Profile

THE CLARK CENTER FOR UROGYNECOLOGY
NPI 1679801229
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Newport Beach, CA

Active since November 19, 2009CLIA 05D0979539 · Waiver
520 SUPERIOR AVE, SUITE 225, NEWPORT BEACH, CA 92663(949) 360-0300 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Clark Center For Urogynecology NPPES

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

THE CLARK CENTER FOR UROGYNECOLOGY (NPI 1679801229) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Newport Beach, California and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Matthew H. Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1679801229
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameMATTHEW HOUSTON CLARK MD INC
Location Address520 SUPERIOR AVE, SUITE 225Newport Beach, CA 92663-3637
Mailing Address520 Superior Ave, Suite 225Newport Beach, CA 92663-3637 · (949) 360-0300
Phone(949) 360-0300
Organization SubpartNo
Authorized OfficialMatthew H. ClarkOwner · (949) 360-0300
Enumeration DateNovember 19, 2009
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1679801229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic 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.
Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X
520 SUPERIOR AVE, Newport Beach, CA 92663
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Clark Center For Urogynecology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Clark Center For Urogynecology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20100607000322Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Clark Center For Urogynecology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Clark, M.D.
Obstetrics/Gynecology
NPI 1952417339
520 SUPERIOR AVE SUITE 225
Newport Beach, CA 92663
(949) 360-0300
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0979539

Matthew H Clark MD Inc Dba The Clark Center For Urogynecology · Newport Beach, CA
Active · expires May 11, 2027
CLIA Number05D0979539
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorMatthew H. Clark MD
Laboratory Phone(949) 360-0300
Laboratory LocationMatthew H Clark MD Inc Dba The Clark Center For Urogynecology520 Superior Ave Ste 225, Newport Beach, CA 92663
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Matthew Houston Clark MD Inc's NPI number?

The NPI number for Matthew Houston Clark MD Inc is 1679801229. It was assigned to this organization in the NPPES registry on November 19, 2009. The provider is doing business as The Clark Center For Urogynecology.

Where is Matthew Houston Clark MD Inc located?

Matthew Houston Clark MD Inc is located at 520 Superior Ave Suite 225, Newport Beach, CA 92663. The listed phone number is (949) 360-0300.

What is Matthew Houston Clark MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Matthew Houston Clark MD Inc enrolled in Medicare?

Yes. Matthew Houston Clark MD Inc is registered in the Medicare PECOS enrollment system.

When is Matthew Houston Clark MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Matthew Houston Clark MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Matthew Houston Clark MD 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.

Does Matthew Houston Clark MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0979539) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Matthew Houston Clark MD Inc was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.