Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cornell M Clark, MD

Individual provider Family Medicine Physician · NPI 1700990421

Cornell M Clark, MD is a Family Practice in Las Vegas, Nevada. Qualified in 1981, 45 years ago. Accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
45
Licensed in
CA, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone: (702) 877-5199
Fax: (702) 258-6152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6460 (NV)
Family Medicine Physician Taxonomy 207Q00000X · Licence G84970 (CA)

Record details

NPI number1700990421
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESMarch 7, 2023
Certification dateMarch 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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