Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LATISHA MARIE CLARK APRN
NPI 1700590320
Nurse Practitioner - Family in Ventura, CA

Active since January 09, 2023PECOS Enrolled
5725 RALSTON ST STE 101, VENTURA, CA 93003(805) 658-2273 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Mar 1, 2023, Feb 7, 2023 and 2 more (5 updates tracked since 2023).

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

NPI1700590320
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLATISHA MARIE CLARKCredential: APRN
Location Address5725 RALSTON ST STE 101Ventura, CA 93003-6053
Mailing Address5725 Ralston St Ste 101Ventura, CA 93003-6053 · (805) 658-2273
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 9, 2023
Last NPPES UpdateJune 24, 20265 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1700590320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95032515
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1085990 (TX)
5725 RALSTON ST STE 101, Ventura, CA 93003

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Latisha Marie Clark Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234502923
PECOS Enrollment IDI20230228001026, I20251216003500
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
91 services43 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
57 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
36 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients

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.

New Patient
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physician Assistant
5725 RALSTON ST STE 101
VENTURA, CA 93003
Clinic/Center (Urgent Care)
5725 RALSTON ST STE 101
VENTURA, CA 93003
Nurse Practitioner
5725 RALSTON ST STE 101
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.

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 45 days 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.