Organization Active NPI

Lucas Chiropractic

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1164852380
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
28257 Issued in CA
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1083758239OtherCA1-INDIVIDUAL

Other names 1

  • Lucas Chiropractic & Rangel Wellness Center Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.