Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Clint Ketchel, M.D.

Family Medicine Physician in Lake Elsinore, CA · enumerated 2012 · practices at Vista Community Clinic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699038125

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Registry record

Entity type Individual (Type 1)

Name Dr. Clint Ketchel

Credential M.D.

Sex Male

Practice address 30195 Fraser Dr, Lake Elsinore, CA, 92530

Phone (951) 252-2720

Fax (760) 414-3892

Enumeration date Jun 19, 2012

Last updated in NPPES Feb 1, 2019

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301100963 (MI) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License A135564 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Clint Ketchel?

Clint Ketchel is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-01.