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

Mar Keshia Clarke, NP

Individual provider Nurse Practitioner · NPI 1730228388

Mar Keshia Clarke, NP is a Nurse Practitioner in Hawthorne, California. Graduated from University of California, Geffen School of Medicine in 2004, 22 years ago. Practices with Providence Medical Institute, a 336-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
22
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12618 Hawthorne Blvd
Hawthorne, CA 90250-3907
Phone: (310) 263-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 742 W Gardena Blvd, Gardena, CA 90247-5024 — (310) 802-6177

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 15097 (CA)

Record details

NPI number1730228388
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hawthorne