Individual provider Active NPI

Lucas A Jones, M.D.

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1689823478
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A110668 Issued in CA
Practice address
4283 Piedmont Ave Ste G2
Oakland, CA 94611-4762
Phone
(510) 210-3868
Fax
(510) 230-2805
NPI assigned
Sep 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A110668 CA Primary

Addresses

Primary practice location

4283 Piedmont Ave Ste G2
Oakland, CA 94611-4762

Mailing address

4283 Piedmont Ave Ste G2
Oakland, CA 94611-4762
Phone (510) 210-3868

Other practice location 1

9500 Gilman Dr
UCSD Mail code # 9116A
LA Jolla, CA 92093-5004
Phone (858) 534-4040

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
I20110615000299 CA Practitioner - Psychiatry 8820275035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay Psychiatric AssociatesGroup PAC ID 6204723331, 60 clinicians

Practice addresses (Care Compare)

2001 Dwight Way
RM 4190
Berkeley, CA 94704-2608
Phone (510) 204-4635

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Psychiatric Associates Psychiatry CurrentSince Mar 1, 2020 Accepting new patients
UC San Diego Health Past Accepting new patients
Ucsd Student in an Organized Health Care Education/Training Program Past Accepting new patients

Locations

2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635

2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635

2020 Milvia St
Ste 300
Berkeley, CA 94704
Phone (510) 843-2220

2001 Dwight Way
Fl 4
Berkeley, CA 94704
Phone (510) 204-2461

2001 Dwight Way
Ste 4190
Berkeley, CA 94704
Phone (510) 204-4635

Organizations & group practices 3

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": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1689823478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE STE G2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114762",
            "telephone_number": "510-210-3868",
            "fax_number": "510-230-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 PIEDMONT AVE STE G2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114762",
            "telephone_number": "510-210-3868",
            "fax_number": "510-230-2805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Gilman Dr",
            "address_2": "UCSD Mail code # 9116A",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920935004",
            "country_code": "US",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LUCAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.