Active NPI
John C. Luce, DO
- Pediatric Rehabilitation Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 20A14626
- Practice address
- 7910 Frost St
San Diego, CA 92123-2771 - Phone
- (858) 966-8974
- NPI assigned
- Jul 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A14626 | CA | |
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 20A14626 | CA | Primary |
Addresses
Primary practice location
7910 Frost St
San Diego, CA 92123-2771
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3020 Children'S Way
San Diego, CA 92123-4223
Phone (858) 576-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14626 | CA | MD | Acupuncturist |
| 20A14626 | CA | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Valley Children'S Medical Group | Current | Accepting new patients | |
| Specialty Medical Group Central California Inc. - Dept of Neurology | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
9300 Valley Childrens Pl
#20
Madera, CA 93636
Phone (559) 353-6215
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277
7910 Frost St
Ste 195
San Diego, CA 92123
Phone (858) 966-8974
3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
7910 Frost St
San Diego, CA 92123
Phone (858) 309-7702
Interoperability endpoints
- jluce15808@valleychildrens-prd.direct-ci.com
Organizations & group practices 6
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.
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-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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- NPI 1851303994
-
- Children's Hospital
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- NPI 1336359389
-
- Child & Adolescent Psychiatry Physician
- Madera, CA
- NPI 1063691467
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1376830596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 FROST ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232771",
"telephone_number": "858-966-8974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCE",
"first_name": "JOHN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A14626",
"primary": false
},
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "20A14626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.