Active NPI
Lucas Chiropractic
- Chiropractor
- Long Beach, CA
National Provider Identifier
1164852380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 28257
- Legal business name
- LUCAS CHIROPRACTIC
- Practice address
- 2530 Atlantic Ave Ste a
Long Beach, CA 90806-2741 - Phone
- (562) 424-5901
- Fax
- (562) 424-5879
- NPI assigned
- Nov 25, 2013
- Organization subpart
- Yes
- Parent organization
- PDC MANAGEMENT LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vernell Deshan Lucas, D.C
- Title
- Chiropracter
- Phone
- (562) 424-5875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 28257 | CA | Primary |
Addresses
Primary practice location
2530 Atlantic Ave Ste a
Long Beach, CA 90806-2741
Mailing address
2530 Atlantic Ave Ste a
Long Beach, CA 90806-2741
Phone (562) 424-5901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083758239 | Other | CA | 1-INDIVIDUAL |
Other names 1
- Lucas Chiropractic & Rangel Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385337600000",
"number": "1164852380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 ATLANTIC AVE STE A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062741",
"telephone_number": "562-424-5901",
"fax_number": "562-424-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 ATLANTIC AVE STE A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062741",
"telephone_number": "562-424-5901",
"fax_number": "562-424-5879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUCAS CHIROPRACTIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PDC MANAGEMENT LLC",
"enumeration_date": "2013-11-25",
"last_updated": "2013-11-25",
"status": "A",
"authorized_official_last_name": "LUCAS",
"authorized_official_first_name": "VERNELL",
"authorized_official_middle_name": "DESHAN",
"authorized_official_title_or_position": "CHIROPRACTER",
"authorized_official_telephone_number": "562-424-5875",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "28257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1-INDIVIDUAL",
"identifier": "1083758239",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lucas Chiropractic & Rangel Wellness Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.