Michael J de Luca MD Incorporated

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MICHAEL J DE LUCA MD INCORPORATED

Practice address

1745 Pacific Ave
Long Beach, CA 90813-1714

Phone

(562) 591-7377

Fax

(562) 591-7388

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael J De Luca, MD

Title

Director Ceo

Phone

(562) 591-7377

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1487835849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131714",
            "telephone_number": "562-591-7377",
            "fax_number": "562-591-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908131714",
            "telephone_number": "562-591-7377",
            "fax_number": "562-591-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J DE LUCA MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "DE LUCA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR CEO",
        "authorized_official_telephone_number": "562-591-7377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A289710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Bui DMD, Inc
• Michael D. Myers, M.D., Inc.
• Michael Decker DO, Inc.
• Michael Decker, DO, Inc
• Michael E. Lieppman, M.D., Inc.
• Michael O Liff MD Inc
• Michael P Majancsik, DC, PC
• Michael S. Johnson Physician Assistant, Inc.
• Michael Tehrani MD Apc
• Michael Wright

• Psychiatry Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.