Organization Active NPI

Lucidity Sleep and Psychiatry

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Vista, CA
National Provider Identifier
1144734906
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A125903 Issued in CA
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

Updated by the provider on Dec 15, 2024

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

Authorized official

Name
Kristen LamarcaNPI 1962660332
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)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X A125903 CA Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20180910000940 CA Part B Supplier - Clinic/Group Practice 8628328895 Receives reassigned benefits from 2 practitioners
Practice locations: Vista, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.