Active NPI
Ralph John Luciani I, D.O., M.D.(H)
- Preventive Medicine/Occupational Environmental Medicine Physician
- Phoenix, AZ
National Provider Identifier
1003091117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 1080
- Practice address
- 1530 W Glendale Ave
Suite 106
Phoenix, AZ 85021-8578 - Phone
- (602) 242-4024
- Fax
- (602) 242-4913
- NPI assigned
- Jan 8, 2008
- Last updated
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 1080 | AZ | Primary |
Addresses
Primary practice location
1530 W Glendale Ave
Suite 106
Phoenix, AZ 85021-8578
Mailing address
1530 W Glendale Ave
Suite 106
Phoenix, AZ 85021-8578
Phone (602) 242-4024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 17, 2014 through Jul 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | AZ | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1003091117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 W GLENDALE AVE",
"address_2": "SUITE 106",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218578",
"telephone_number": "602-242-4024",
"fax_number": "602-242-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 W GLENDALE AVE",
"address_2": "SUITE 106",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850218578",
"telephone_number": "602-242-4024",
"fax_number": "602-242-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIANI",
"first_name": "RALPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "D.O., M.D.(H)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "AZ",
"license": "1080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.