Dr Christa Lynn Clark, MD is a
Plastic Surgery physician based in Granite Bay, California. Dr Christa Lynn Clark is licensed to practice in California (license number A72524) and her current practice location is 5220 Douglas Blvd, Granite Bay, California. She can be reached at her office (for appointments etc.) via phone at
(916) 242-2662.
NPI number for Dr Christa Lynn Clark is 1457438004 and her current mailing address is 5220 Douglas Blvd, Granite Bay, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457438004.
Physician's Profile
| Full Name | Dr Christa Lynn Clark |
|---|
| Gender | Female |
|---|
| Speciality | Plastic Surgery |
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| Location | 5220 Douglas Blvd, Granite Bay, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457438004
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 02/23/2026
Medical Identifiers
Medical identifiers for Dr Christa Lynn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457438004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | A72524 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christa Lynn Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Christa Lynn Clark, MD 5220 Douglas Blvd, Granite Bay, CA 95746-6205 Ph: (916) 242-2662 | Dr Christa Lynn Clark, MD 5220 Douglas Blvd, Granite Bay, CA 95746-6205 Ph: (916) 242-2662 |
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