LATISHA MARIE CLARK APRN
NPI 1700590320
Nurse Practitioner - Family in Ventura, CA
About Latisha Marie Clark Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATISHA MARIE CLARK APRN (NPI 1700590320) is an individual family provider in Ventura, California, licensed in California (95032515) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Latisha Marie Clark Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Latisha Clark reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Barbara, CA 93105
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Fort Worth, TX 76103
- Reassigned Medicare billing, Texas enrollment
- 175 clinicians in this Medicare group
Magnolia, TX 77354
- Reassigned Medicare billing, Texas enrollment
- 55 clinicians in this Medicare group
Magnolia, TX 77354
- Reassigned Medicare billing, Texas enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VENTURA, CA 93003
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 Latisha Clark's NPI number?
The NPI number for Latisha Clark is 1700590320. It was assigned to this individual provider in the NPPES registry on January 9, 2023.
Where is Latisha Clark located?
Latisha Clark practices at 5725 Ralston St Ste 101, Ventura, CA 93003. The listed phone number is (805) 658-2273.
What is Latisha Clark's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latisha Clark enrolled in Medicare?
Yes. Latisha Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Latisha Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latisha Clark reassigns Medicare benefits to 4 organizations: Cottage Clinical Network, LLC (Santa Barbara, CA), Oak Street Health Of Texas, PLLC (Fort Worth, TX), The Urgent Care Associates Of Texas, PLLC (Magnolia, TX) and Woodlands Lone Star Emergency Physicians Group, PLLC (Magnolia, TX). Each 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 Latisha Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latisha Clark accept?
Health plans from Blue Cross and Blue Shield of Texas list Latisha Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Latisha Clark was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Latisha Marie Clark, APRN · NPI 1700590320
Family physician in Ventura, California. Individual provider, active in the CMS NPPES registry since January 9, 2023.
## Identity
- **NPI:** 1700590320 (Entity type: Individual)
- **Enumerated:** January 9, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95032515 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5725 RALSTON ST STE 101, Ventura, CA 93003-6053
- **Phone:** (805) 658-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cottage Clinical Network, LLC (NPI 1588209357, Santa Barbara, CA); Oak Street Health Of Texas, PLLC (NPI 1497387419, Fort Worth, TX); The Urgent Care Associates Of Texas, PLLC (NPI 1235539933, Magnolia, TX); Woodlands Lone Star Emergency Physicians Group, PLLC (NPI 1679994941, Magnolia, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700590320) · Data from the CMS NPPES public registry.