Lucky Adult Day Health Care Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

LUCKY ADULT DAY HEALTH CARE CENTER INC

Practice address

17661 Cowan
Irvine, CA 92614-6031

Phone

(949) 547-0202

Fax

(818) 349-2558

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Qadeer Azam

Title

Administrator

Phone

(949) 547-0202

Specialties & licenses 1

Addresses

Other names 1

• Lucky Adult Day Health Care Center Inc Other name

Locations

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1306659677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 RESEDA BLVD STE 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246000",
            "telephone_number": "949-547-0202",
            "fax_number": "818-349-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17661 COWAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146031",
            "telephone_number": "949-547-0202",
            "fax_number": "818-349-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY ADULT DAY HEALTH CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "AZAM",
        "authorized_official_first_name": "QADEER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-547-0202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucky Adult Day Health Care Center Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melanie Lucas, PHD
• James Talvin Lucci
• Matthew William Lucero
• Brianna Luckett, P.T., D.P.T
• David Luckett, PT, DPT
• Ulrike Luderer, MD
• Ann Dora Ludolph, MPT
• Tamara Luechinger, PA-C
• Kristin L Lueck, MD
• Nathan Lugo

• Adult Day Care Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.