Vernell Deshan Lucas, D.C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

28257 Issued in CA

Practice address

14051 Paramount Blvd
Suite C
Paramount, CA 90723-6153

Phone

(562) 630-5566

Fax

(562) 630-5565

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1083758239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 PARAMOUNT BLVD",
            "address_2": "SUITE C",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907232692",
            "telephone_number": "562-630-5566",
            "fax_number": "562-630-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 PARAMOUNT BLVD",
            "address_2": "SUITE C",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907236153",
            "telephone_number": "562-630-5566",
            "fax_number": "562-630-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "VERNELL",
        "middle_name": "DESHAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "28257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Paramount, CA
• Providers in Paramount, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.