Individual provider Active NPI

Luke Jacob Narciso

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1528874401
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033191 Issued in CA
Practice address
1211 N Vermont Ave Ste 207
Los Angeles, CA 90029-1748
Phone
(323) 426-9480
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033191 CA Primary

Addresses

Primary practice location

1211 N Vermont Ave Ste 207
Los Angeles, CA 90029-1748

Mailing address

1211 N Vermont Ave Ste 207
Los Angeles, CA 90029-1748
Phone (323) 426-9480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250109003212 CA Practitioner - Nurse Practitioner 4688102262 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miracle Mobile Wound CareGroup PAC ID 7113429549, 3 clinicians
Wound Saviors Advanced Medical Group IncGroup PAC ID 1557863347, 7 clinicians
Pacific Mobile Wound CareGroup PAC ID 1557889854, 9 clinicians
Perpetual Wound RescueGroup PAC ID 3274034350, 9 clinicians
Axoderm CorpGroup PAC ID 1456840982, 3 clinicians
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians

Practice addresses (Care Compare)

Los Angeles, CA 90025
Phone (310) 453-1324

Long Beach, CA 90807
Phone (714) 698-9826

Anaheim, CA 92801
Phone (562) 388-8458

1510 S Central Ave
Suite 640
Glendale, CA 91204-2552
Phone (818) 242-3200

1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033191CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Saviors Advanced Medical Group Inc Family CurrentSince Sep 6, 2025 Accepting new patients
Onlywounds Apc Current Accepting new patients
Harbor Comprehensive Health Inc CurrentSince Dec 18, 2024 Accepting new patients
Perpetual Wound Rescue CurrentSince Sep 1, 2025 Accepting new patients
Elite Regenerative Health Inc Family CurrentSince Sep 6, 2025 Accepting new patients
Wound Docs Apc CurrentSince Jan 30, 2025 Accepting new patients
Wound Savers of California Inc CurrentSince Dec 8, 2024 Accepting new patients
Axoderm Corp CurrentSince Oct 20, 2025 Accepting new patients
Pacific Mobile Wound Care CurrentSince Oct 1, 2025 Accepting new patients

Locations

27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321

1100 E Orangethorpe Ave
Ste 200
Anaheim, CA 92801
Phone (714) 932-8931

1100 E Orangethorpe Ave
Ste 200R
Anaheim, CA 92801
Phone (714) 273-7672

1100 E Orangethorpe Ave
Ste 252K
Anaheim, CA 92801
Phone (562) 388-8458

1510 S Central Ave
Ste 640
Glendale, CA 91204
Phone (818) 242-3200

1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146

3605 Long Beach Blvd
Ste 210F
Long Beach, CA 90807
Phone (714) 698-9826

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

803 Figueroa St
Wilmington, CA 90744
Phone (310) 830-0863

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1528874401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "323-426-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N VERMONT AVE STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291748",
            "telephone_number": "323-426-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARCISO",
        "first_name": "LUKE JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.