Individual provider Active NPI

Victoria Davidovsky Lucas, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1639215346
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22227 Issued in CA
Practice address
12301 Wilshire Blvd
Ste 413
Los Angeles, CA 90025-1421
Phone
(310) 442-1222
Fax
(310) 442-1222
NPI assigned
Jan 29, 2007
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC22227 CA Primary

Addresses

Primary practice location

12301 Wilshire Blvd
Ste 413
Los Angeles, CA 90025-1421

Mailing address

12301 Wilshire Blvd
Ste 413
Los Angeles, CA 90025-1007
Phone (310) 442-1222

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC22227CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1639215346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD",
            "address_2": "STE 413",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251007",
            "telephone_number": "310-442-1222",
            "fax_number": "310-442-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD",
            "address_2": "STE 413",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251421",
            "telephone_number": "310-442-1222",
            "fax_number": "310-442-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOVSKY LUCAS",
        "first_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22227",
            "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 Mar 27, 2015; 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.