Individual provider Active NPI

Bruce Beezley McLucas, M.D.

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1659415800
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
9675 Brighton Way Ste 380
Beverly Hills, CA 90210-5187
Phone
(866) 479-1523
Fax
(310) 208-2621
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

9675 Brighton Way Ste 380
Beverly Hills, CA 90210-5187

Mailing address

9663 Santa Monica Blvd # 1126
Beverly Hills, CA 90210-4303
Phone (310) 208-2442

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000499 CA Practitioner - Obstetrics/GynecologyPractitioner - Vascular Surgery 1153518717 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Vascular Surgery
Education
Yale University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Imaging Center of Southern CaliforniaGroup PAC ID 2961306469, 7 clinicians
Center for Advanced Cardiac and Vascular InterventionsGroup PAC ID 1759649056, 13 clinicians

Practice addresses (Care Compare)

2827 Wilshire Blvd
Santa Monica, CA 90403-4801
Phone (310) 829-9788

8741 Alden Dr
Suite a
Los Angeles, CA 90048-3692
Phone (310) 652-2744

9675 Brighton Way
Suite 380
Beverly Hills, CA 90210-5187
Phone (310) 208-2442

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
68.97
Promoting interoperability
99
Improvement activities
40
Cost
43.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging Center of Southern California CurrentSince Feb 25, 2025 Accepting new patients
Center for Advanced Cardiac and Vascular Interventions CurrentSince Jan 1, 2022 Accepting new patients
University Vascular Associates Inc. CurrentSince Dec 14, 2021 Accepting new patients
IHS Radiology Medical Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
TC4S LP CurrentSince Dec 31, 2010 Accepting new patients
Physicians Radiology Medical Group, Inc. Past Accepting new patients

Locations

1411 S Garfield Ave
Ste 302
Alhambra, CA 91801
Phone (626) 566-8105

333 H St
Ste 1095
Chula Vista, CA 91910
Phone (619) 409-9119

477 N El Camino Real
Ste A102
Encinitas, CA 92024
Phone (760) 452-7150

4150 Regents Park Row
Ste 195
La Jolla, CA 92037
Phone (858) 622-6464

1082 Glendon Ave
Los Angeles, CA 90024
Phone (310) 209-2011

8741 Alden Dr
Ste A
Los Angeles, CA 90048
Phone (310) 652-2744

2427 Transportation Ave
National City, CA 91950

3601 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 631-7505

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

12620 Monte Vista Rd
Ste A
Poway, CA 92064
Phone (858) 487-9729

6386 Alvarado Ct
Ste 121
San Diego, CA 92120
Phone (619) 229-2299

1809 National Ave
Ste 2104
San Diego, CA 92113

150 W Washington St
San Diego, CA 92103
Phone (619) 295-9729

3939 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 200-3300

2827 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-1489

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

1000 Vale Terrace Dr
Vista, CA 92084
Phone (760) 407-1220

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1659415800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 1126",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "310-208-2442",
            "fax_number": "310-208-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 380",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105187",
            "telephone_number": "866-479-1523",
            "fax_number": "310-208-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLUCAS",
        "first_name": "BRUCE",
        "middle_name": "BEEZLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.