Individual provider Active NPI

Monica Kawekiu Lucas, H.H.P.

  • Specialist
  • San Diego, CA
National Provider Identifier
1447449202
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3710431 Issued in CA
Practice address
16769 Bernardo Center Dr Ste K13
San Diego, CA 92128-2546
Phone
(858) 673-1244
Fax
(858) 673-1246
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3710431 CA Primary

Addresses

Primary practice location

16769 Bernardo Center Dr Ste K13
San Diego, CA 92128-2546

Mailing address

16769 Bernardo Center Dr Ste K13
San Diego, CA 92128-2546
Phone (858) 673-1244

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
3710431CAMDSpecialist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12163/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1447449202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16769 BERNARDO CENTER DR STE K13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282546",
            "telephone_number": "858-673-1244",
            "fax_number": "858-673-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16769 BERNARDO CENTER DR STE K13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282546",
            "telephone_number": "858-673-1244",
            "fax_number": "858-673-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "MONICA",
        "middle_name": "KAWEKIU",
        "name_prefix": "Mrs.",
        "credential": "H.H.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "3710431",
            "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 Oct 17, 2007; 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.