Individual provider Active NPI

Lucas D Amuchastegui, PA-C

  • Physician Assistant
  • Central Point, OR
National Provider Identifier
1477008167
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA181735 Issued in OR
Practice address
870 S Front St Ste 200
Central Point, OR 97502-2779
Phone
(541) 732-8320
NPI assigned
Aug 23, 2016
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA181735 OR Primary

Addresses

Primary practice location

870 S Front St Ste 200
Central Point, OR 97502-2779

Mailing address

PO Box 31001
Pasadena, CA 91110-4180
Phone (541) 732-8120

Other identifiers 1

IdentifierTypeStateIssuer
500724101MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lamuchastegui805542@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170407001651 OR Practitioner - Physician Assistant 0840579843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1698 E McAndrews Rd
Medford, OR 97504-5590

870 S Front St
Suite 200
Central Point, OR 97502-2779
Phone (541) 664-3346

940 Royal Ave
Medford, OR 97504-6194

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2017 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2017 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2017 Accepting new patients
Providence Health & Services - Oregon CurrentSince Apr 1, 2017 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

870 S Front St
Ste 200
Medford, OR 97502
Phone (541) 664-3346

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

Interoperability endpoints

  • Direct secure messaging: lamuchastegui805542@oc.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1477008167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104180",
            "telephone_number": "541-732-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S FRONT ST STE 200",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022779",
            "telephone_number": "541-732-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUCHASTEGUI",
        "first_name": "LUCAS",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA181735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500724101",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lamuchastegui805542@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "870 S Front St Ste 200",
            "city": "Central Point",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975022779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

Verify at the official NPI Registry.