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Kenyatta Clark
NPI 1902324346 · Case Manager/Care Coordinator · Los Angeles, CA
Kenyatta Clark is a Case Manager/Care Coordinator provider in Los Angeles, CA (NPI 1902324346).
Provider details
- NPI number
- 1902324346
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12901 Venice Blvd
Los Angeles, CA 90066-3509
Phone: (310) 390-3611
Fax: (310) 390-4906
Street-level locationGet directions
Mailing address
12901 Venice Blvd
Los Angeles, CA 90066-3509
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2022-07-21
Frequently asked questions
- What is Kenyatta Clark's NPI number?
- Kenyatta Clark's National Provider Identifier (NPI) is 1902324346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenyatta Clark's specialty?
- Kenyatta Clark is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Kenyatta Clark located?
- Kenyatta Clark's practice location on file with NPPES is 12901 Venice Blvd, Los Angeles, CA 90066-3509.
- What is Kenyatta Clark's phone number?
- The practice phone number listed in the NPPES registry for Kenyatta Clark is (310) 390-3611.
- Is Kenyatta Clark's NPI active?
- Yes — Kenyatta Clark's NPI (1902324346) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.