Individual provider Active NPI

Danah Majorie Fernando Lucasan, NP-C

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1669030987
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011876 Issued in CA
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

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

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
I20191107002383 CA Practitioner - Nurse Practitioner 6800228164 Reassigns benefits to 8 organizations

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
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians
Pinnacle Medical Group IncGroup PAC ID 4880667609, 19 clinicians
Medex Specialty Network, Inc.Group PAC ID 1153761697, 2 clinicians

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)

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Housecall MD,Inc Single Specialty CurrentSince Feb 16, 2023 Accepting new patients
Cassidy Medical Group Inc. Single Specialty Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Aug 19, 2019 Accepting new patients
Supportive Care Specialists Single Specialty CurrentSince Dec 6, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Algos Inc., a Medical Corporation Single Specialty Current Accepting new patients
Algos Inc., a Medical Corporation Single Specialty CurrentSince Aug 19, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Apr 1, 2025 Accepting new patients
Centers for Family Medicine GP Single Specialty Current Accepting new patients
Beaver Medical Group P C Single Specialty CurrentSince Sep 14, 2025 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Apr 1, 2025 Accepting new patients
Jun R. Chiong, MD, MPH, Inc. Single Specialty CurrentSince May 20, 2024 Accepting new patients
Beaver Medical Group P C Single Specialty CurrentSince Sep 14, 2025 Accepting new patients
Medex Specialty Network, Inc. Single Specialty CurrentSince May 20, 2024 Accepting new patients
Goldencast Medical Corporation Single Specialty PastSince May 1, 2008 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

  • Direct secure messaging: danahmarjorie.lucasan.p1@direct.lakeside.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/3574/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dlucasan26020@epiclp.direct-ci.com
  • Direct secure messaging: 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.

View all 16

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

Verify at the official NPI Registry.