Active NPI
Charlene Lucas
- Land Ambulance
- Sacramento, CA
National Provider Identifier
1447014311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Practice address
- 3400 Cottage Way Ste G2
Sacramento, CA 95825-1474 - Phone
- (209) 683-8501
- NPI assigned
- Feb 9, 2024
- Last updated
- Feb 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
3400 Cottage Way Ste G2
Sacramento, CA 95825-1474
Mailing address
3400 Cottage Way Ste G2
Sacramento, CA 95825-1474
Phone (209) 683-8501
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDR Transport Services LLC | Land Transport | Current | Accepting new patients |
Locations
3400 Cottage Way
Ste G2
Sacramento, CA 95825
Phone (209) 683-8501
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707436800000",
"number": "1447014311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 COTTAGE WAY STE G2",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251474",
"telephone_number": "209-683-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 COTTAGE WAY STE G2",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251474",
"telephone_number": "209-683-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CHARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.