Individual provider Active NPI

Avery Lucas, RN

  • Registered Nurse
  • Inglewood, CA
National Provider Identifier
1184418782
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95382780 Issued in CA
Practice address
1415 N la Tijera Blvd
Inglewood, CA 90302-1548
Phone
(310) 680-5260
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95382780 CA Primary

Addresses

Primary practice location

1415 N la Tijera Blvd
Inglewood, CA 90302-1548

Mailing address

8956 Kramerwood PL
Los Angeles, CA 90034-3108

Other practice location 1

5354 W 64th St
Inglewood, CA 90302-1042
Phone (310) 680-5430

Other practice location 2

331 W Olive St
Inglewood, CA 90301-2213
Phone (310) 680-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95382780CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1184418782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 KRAMERWOOD PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N LA TIJERA BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021548",
            "telephone_number": "310-680-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5354 W 64th St",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903021042",
            "country_code": "US",
            "telephone_number": "310-680-5430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "331 W Olive St",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903012213",
            "country_code": "US",
            "telephone_number": "310-680-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "AVERY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95382780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.