Active NPI
Lucille Rose Luong, RDN
- Registered Dietitian
- Moreno Valley, CA
National Provider Identifier
1487283784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 25301 Pico Vista Way
Moreno Valley, CA 92557-5222 - Phone
- (815) 994-6795
- NPI assigned
- Apr 7, 2020
- Last updated
- Apr 7, 2020
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
25301 Pico Vista Way
Moreno Valley, CA 92557-5222
Mailing address
8008 4A Street NE
Calgary, ALBERTA T2K 5W8
CA
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86038485 | Other | COMMISSION ON DIETETIC REGISTRATION |
Other names 1
- Lucille Rose Richie
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1487283784",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "8008 4A STREET NE",
"city": "CALGARY",
"state": "ALBERTA",
"postal_code": "T2K 5W8"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25301 PICO VISTA WAY",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925575222",
"telephone_number": "815-994-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "LUCILLE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "86038485",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LUCILLE",
"last_name": "RICHIE",
"middle_name": "ROSE",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.