Active NPI
Danah Majorie Fernando Lucasan, NP-C
- Family Nurse Practitioner
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95011876
- Practice address
- 1700 N Waterman Ave
San Bernardino, CA 92404-5115 - Phone
- (909) 883-8611
- NPI assigned
- Jun 1, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95011876 | CA | Primary |
Addresses
Primary practice location
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
461 Tennessee St Ste C
Redlands, CA 92373-8161
Phone (909) 477-1167
Other names 1
- Danah Fernando Lucasan
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611
2150 N Waterman Ave
San Bernardino, CA 92404-4811
Phone (909) 881-4115
461 Tennessee St
Suite C
Redlands, CA 92373-8161
Phone (909) 475-7371
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles (16 of 17)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Medical Group, Inc | Single Specialty | Current | Accepting new patients |
| Housecall MD,Inc | Single Specialty | Current | Accepting new patients |
| Cassidy Medical Group Inc. | Single Specialty | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Supportive Care Specialists | Single Specialty | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Single Specialty | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Single Specialty | Current | Accepting new patients |
| Algos Inc., a Medical Corporation | Single Specialty | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Centers for Family Medicine GP | Single Specialty | Current | Accepting new patients |
| Beaver Medical Group P C | Single Specialty | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Current | Accepting new patients | |
| Jun R. Chiong, MD, MPH, Inc. | Single Specialty | Current | Accepting new patients |
| Beaver Medical Group P C | Single Specialty | Current | Accepting new patients |
| Medex Specialty Network, Inc. | Single Specialty | Current | Accepting new patients |
| Goldencast Medical Corporation | Single Specialty | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843
891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308
1494 S Robertson Blvd
Ste 200
Los Angeles, CA 90035
Phone (626) 442-5200
1494 S Robertson Blvd
Ste 200A
Los Angeles, CA 90035
Phone (626) 442-5200
550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290
1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200
69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380
10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579
10565 Civic Center Dr
Ste 165
Rch Cucamonga, CA 91730
Phone (888) 824-2144
2 W Fern Ave
#1112
Redlands, CA 92373
461 Tennessee St
Ste C
Redlands, CA 92373
Phone (909) 475-7371
414 Tennessee St
Ste Xx
Redlands, CA 92373
Phone (909) 475-7371
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- danahmarjorie.lucasan.p1@direct.lakeside.nextgenshare.com
- https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4
- dlucasan26020@epiclp.direct-ci.com
- danah.lucasan.1@3574.direct.athenahealth.com
Organizations & group practices 16
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.
-
- Cardiovascular Disease Physician
- Redlands, CA
- NPI 1659134252
Single Specialty
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
Single Specialty
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Single Specialty
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1093099046
Single Specialty
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1245832419
Single Specialty
-
- Clinical Medical Laboratory
- Pasadena, CA
- NPI 1699169961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763856000000",
"number": "1669030987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924045115",
"telephone_number": "909-883-8611"
}
],
"practiceLocations": [
{
"address_1": "461 Tennessee St Ste C",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923738161",
"country_code": "US",
"telephone_number": "909-477-1167",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCASAN",
"first_name": "DANAH MAJORIE",
"middle_name": "FERNANDO",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-01",
"last_updated": "2025-11-23",
"certification_date": "2025-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95011876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANAH",
"last_name": "LUCASAN",
"middle_name": "FERNANDO",
"credential": "NP-C",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; 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.