Active NPI
Maury Dexter Lemons Jr.
- General Practice Registered Nurse
- Riverside, CA
National Provider Identifier
1487218236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 95192159
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95192159 | CA | MD | Home 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.