Individual provider Active NPI

Maury Dexter Lemons Jr.

  • General Practice Registered Nurse
  • Riverside, CA
National Provider Identifier
1487218236
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
95192159 Issued in CA
Practice address
12751 Harlow Ave
Riverside, CA 92503-4613
Phone
(818) 267-6384
NPI assigned
Apr 26, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 95192159 CA
General Practice Registered Nurse 163WG0000X 95192159 CA Primary

Addresses

Primary practice location

12751 Harlow Ave
Riverside, CA 92503-4613

Mailing address

12751 Harlow Ave
Riverside, CA 92503-4613
Phone (818) 267-6384

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
95192159CAMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1487218236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 HARLOW AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034613",
            "telephone_number": "818-267-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 HARLOW AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034613",
            "telephone_number": "818-267-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "MAURY",
        "middle_name": "DEXTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95192159",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95192159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.