Active NPI
Lucidity Sleep and Psychiatry
- Sleep Medicine (Psychiatry & Neurology) Physician
- Vista, CA
National Provider Identifier
1144734906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- A125903
- Legal business name
- LUCIDITY SLEEP AND PSYCHIATRY
- Practice address
- 450 S Melrose Dr
Vista, CA 92081-6674 - Phone
- (760) 650-2290
- Fax
- (760) 400-3026
- NPI assigned
- Nov 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen Lamarca
- Title
- Owner
- Phone
- (760) 650-2290
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | A125903 | CA | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 2016042897 | MO |
Addresses
Primary practice location
450 S Melrose Dr
Vista, CA 92081-6674
Mailing address
450 S Melrose Dr
Vista, CA 92081-6674
Phone (760) 650-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
380 S Melrose Dr
Ste 204
Vista, CA 92081
Phone (760) 205-4040
450 S Melrose Dr
Vista, CA 92081
Phone (760) 227-2392
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Vista, CA
- NPI 1962660332
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Vista, CA
- NPI 1518191949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734220800000",
"number": "1144734906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S MELROSE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920816674",
"telephone_number": "760-650-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S MELROSE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920816674",
"telephone_number": "760-650-2290",
"fax_number": "760-400-3026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCIDITY SLEEP AND PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-30",
"last_updated": "2024-12-15",
"certification_date": "2024-12-15",
"status": "A",
"authorized_official_last_name": "LAMARCA",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-650-2290"
},
"taxonomies": [
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "CA",
"license": "A125903",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "MO",
"license": "2016042897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.