Individual provider Active NPI

Irene-Nicole Miteria Lucero, MSN, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1598275307
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007058 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 95007058 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273

Other practice location 1

4044 Fifth Ave.
San Diego, CA 92103
Phone (619) 849-4469

Other practice location 2

3855 Health Sciences Dr
LA Jolla, CA 92093-1503
Phone (800) 926-8273

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
I20171109002874 CA Practitioner - Nurse Practitioner 3274899117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (858) 657-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Jul 6, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince May 30, 2022 Accepting new patients
Regents of the University of California CurrentSince Jul 6, 2024 Accepting new patients
Scripps Health CurrentSince May 30, 2022 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

1391 E Madison Ave
El Cajon, CA 92021
Phone (616) 444-1107

1200 Garden View Rd
Encinitas, CA 92024
Phone (760) 536-7682

1505 Encinitas Blvd
Encinitas, CA 92024

3855 Health Sciences Dr
La Jolla, CA 92093
Phone (858) 822-6094

9400 Campus Point Dr
La Jolla, CA 92093
Phone (858) 249-3800

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 57326
Los Angeles, CA 90074

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

4044 5th Ave
San Diego, CA 92103
Phone (619) 452-7350

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

910 Sycamore Ave
Ste 270
Vista, CA 92081
Phone (619) 598-1776

910 Sycamore Ave
Ste 102
Vista, CA 92081
Phone (760) 598-1700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice EnginePoway, CA, CCN A01664 Hospice 5% Or Greater Direct Ownership Interest (10%)
Corporate Officer (10%)
Corporate Director (10%)
W-2 Managing Employee (10%)
Operational/Managerial Control (10%)
Mar 10, 2017
Mar 10, 2017
Mar 10, 2017
Mar 10, 2017
Mar 10, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1598275307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747326",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4044 Fifth Ave.",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-849-4469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 Health Sciences Dr",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920931503",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "IRENE-NICOLE",
        "middle_name": "MITERIA",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.