Active NPI
Lucy Dawn Gin, CPNP-PC
- Nurse Practitioner
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95001548
- Practice address
- 4968 Booth Cir
Irvine, CA 92604-3360 - Phone
- (949) 387-4900
- NPI assigned
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95039080 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 95001548 | CA | |
| Nurse Practitioner | 363L00000X | 95001548 | CA | Primary |
Addresses
Primary practice location
4968 Booth Cir
Irvine, CA 92604-3360
Mailing address
24422 Avenida de la Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (959) 599-2434
Other practice location 1
925 S Garfield Ave
Alhambra, CA 91801-4442
Phone (626) 282-0282
Other practice location 2
191 S Buena Vista St Ste 240
Burbank, CA 91505-4559
Phone (818) 557-7278
Other practice location 3
4618 Fountain Ave
Los Angeles, CA 90029-1977
Phone (323) 953-7170
Other practice location 4
2707 E Valley Blvd Ste 215
West Covina, CA 91792-3197
Phone (909) 594-3382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039080 | CA | MD | Registered Nurse |
| 95001548 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kids, a Professional Medical Corporation | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- lucy.gin.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1013311620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533628",
"telephone_number": "959-599-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4968 BOOTH CIR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926043360",
"telephone_number": "949-387-4900"
}
],
"practiceLocations": [
{
"address_1": "925 S Garfield Ave",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918014442",
"country_code": "US",
"telephone_number": "626-282-0282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "191 S Buena Vista St Ste 240",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054559",
"country_code": "US",
"telephone_number": "818-557-7278",
"fax_number": "818-557-1603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4618 Fountain Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900291977",
"country_code": "US",
"telephone_number": "323-953-7170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2707 E Valley Blvd Ste 215",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917923197",
"country_code": "US",
"telephone_number": "909-594-3382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIN",
"first_name": "LUCY",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95039080",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95001548",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95001548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.