Active NPI
Raymond James Lucas, CNA
- Nurse's Aide
- Stockton, CA
National Provider Identifier
1386116598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 00818881
- Practice address
- 1947 N California St Ste B&C
Stockton, CA 95204-6029 - Phone
- (209) 463-0870
- Fax
- (209) 463-1803
- NPI assigned
- Dec 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 00818881 | CA | Primary |
Addresses
Primary practice location
1947 N California St Ste B&C
Stockton, CA 95204-6029
Mailing address
1947 N California St Ste B&C
Stockton, CA 95204-6029
Phone (209) 463-0870
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00818881 | CA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1386116598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 N CALIFORNIA ST STE B&C",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046029",
"telephone_number": "209-463-0870",
"fax_number": "209-463-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1947 N CALIFORNIA ST STE B&C",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046029",
"telephone_number": "209-463-0870",
"fax_number": "209-463-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "RAYMOND",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-28",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "00818881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.