Active NPI
Luke Jacob Narciso
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95033191
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95033191 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Saviors Advanced Medical Group Inc | Family | Current | Accepting new patients |
| Onlywounds Apc | Current | Accepting new patients | |
| Harbor Comprehensive Health Inc | Current | Accepting new patients | |
| Perpetual Wound Rescue | Current | Accepting new patients | |
| Elite Regenerative Health Inc | Family | Current | Accepting new patients |
| Wound Docs Apc | Current | Accepting new patients | |
| Wound Savers of California Inc | Current | Accepting new patients | |
| Axoderm Corp | Current | Accepting new patients | |
| Pacific Mobile Wound Care | Current | 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.
-
- Medical Toxicology (Emergency Medicine) Physician
- Glendale, CA
- NPI 1891675674
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1952102519
-
- Internal Medicine Physician
- Anaheim, CA
- NPI 1235921032
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1013809854
-
- Internal Medicine Physician
- Santa Monica, CA
- NPI 1780569210
-
- General Practice Physician
- Wilmington, CA
- NPI 1093000606
-
- Internal Medicine Physician
- Torrance, CA
- NPI 1447144423
-
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1538046297
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1073444303
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1689413650
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.