Lucent Chiropractic

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

DC30358 Issued in CA

Legal business name

LUCENT CHIROPRACTIC

Practice address

11633 San Vicente Blvd
Suite 214
Los Angeles, CA 90049-6511

Phone

(310) 592-7095

Fax

(310) 826-9894

NPI assigned

Nov 17, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Serge C Lazatin Jr., DC

Title

Chiropractor

Phone

(310) 592-7095

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergio C Lazatin Jr., D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1124212303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1063667152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496511",
            "telephone_number": "310-592-7095",
            "fax_number": "310-826-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11633 SAN VICENTE BLVD",
            "address_2": "SUITE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496511",
            "telephone_number": "310-592-7095",
            "fax_number": "310-826-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "LAZATIN",
        "authorized_official_first_name": "SERGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "310-592-7095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "DC30358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "DC0303580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR CHIROPRACTIC",
            "identifier": "1124212303",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Lucas
• Marissa N Lucas, MD
• Shekinah Lucas
• Elvin Luccon, FNP
• Satoko Luce
• Samantha Lacy Lucero-Daga, N.P.
• Amy Lizette Lucero
• Diana Lucero
• Diane Christine Lucero, RD
• Edgar Lucero

• Preferred Provider Organization in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.