Active NPI
Gayle Lucas, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Diamond Bar, CA
National Provider Identifier
1659563476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A52990
- Practice address
- 1630 Summitridge Dr
Diamond Bar, CA 91765-4335 - Phone
- (909) 612-4407
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A52990 | CA | Primary |
Addresses
Primary practice location
1630 Summitridge Dr
Diamond Bar, CA 91765-4335
Mailing address
1630 Summitridge Dr
Diamond Bar, CA 91765-4335
Phone (909) 612-4407
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52990 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1659563476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SUMMITRIDGE DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654335",
"telephone_number": "909-612-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 SUMMITRIDGE DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654335",
"telephone_number": "909-612-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "GAYLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A52990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Diamond Bar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.