Kevin Luttrell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADCII Issued in CA

Practice address

23950 Prado LN
Colton, CA 92324-9734

Phone

(909) 476-2023

NPI assigned

Oct 15, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Colton, CA
  • NPI 1710707310
  NPD
• G & C Swan Inc

  • Substance Abuse Rehabilitation Facility
  • Claremont, CA
  • NPI 1740569235
  NPD (past)

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1184934838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 OXFORD DR APT C",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744449",
            "telephone_number": "909-262-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23950 PRADO LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923249734",
            "telephone_number": "909-476-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CADCII",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Desiree Lujan
• Andrew James Luna, PA
• Melinda Luna
• Roy CHI Wing Lung, MD
• Marivic Gay Lustre
• Buuloc Tan Luu, D.O.
• Pamela Renee Lux, D.O
• Krystina Lyall
• John Michael Lyons, MD
• Paul E Lyons, MD

• Addiction (Substance Use Disorder) Counselor in Colton, CA
• Providers in Colton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.