Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHRISTA LYNN CLARK, M.D.
Active Sole ProprietorDR. CHRISTA LYNN CLARK, M.D. is a Plastic Surgery healthcare provider located in GRANITE BAY, California. NPI 1457438004 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · GRANITE BAY, CA
Registration Details
- NPI Number
- 1457438004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2006 (19.793994944627 yrs)
- Last Updated
- Feb 23, 2026
- License
-
A72524 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5220 DOUGLAS BLVDGRANITE BAY, CA, 957466205Browse CA providers · Browse ZIP 95746
- Phone
- 9162422662
- Fax
- 9162424165
- Primary Specialty
-
Plastic Surgery
208200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.