Individual provider Active NPI

Rich Lucov

  • Chiropractor
  • Redwood City, CA
National Provider Identifier
1225586159
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28978 Issued in CA
Practice address
150 S Palomar Dr
Redwood City, CA 94062-3237
Phone
(650) 922-9969
NPI assigned
Sep 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28978 CA Primary

Addresses

Primary practice location

150 S Palomar Dr
Redwood City, CA 94062-3237

Mailing address

150 S Palomar Dr
Redwood City, CA 94062-3237
Phone (650) 922-9969

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

State licenses

LicenseStateTypeSpecialty
DC28978CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1225586159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PALOMAR DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623237",
            "telephone_number": "650-922-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PALOMAR DR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940623237",
            "telephone_number": "650-922-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCOV",
        "first_name": "RICH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.