Active NPI
Burton Anthony Lucich, D.C.
- Chiropractor
- Dana Point, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 24483
- Practice address
- 24721 La Plaza
Dana Point, CA 92629 - Phone
- (949) 240-7423
- Fax
- (949) 240-6424
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 24483 | CA | Primary |
Addresses
Primary practice location
24721 La Plaza
Dana Point, CA 92629
Mailing address
34189 PCH Suite 203
Dana Point, CA 92629
Phone (949) 240-6422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1675 N Perris Blvd
Suite G1
Perris, CA 92571-4748
Phone (730) 736-6700
34189 Pacific Coast Hwy
Suite 203
Dana Point, CA 92629-3842
Phone (949) 240-6422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24483 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| DC 24483 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Health Project Inc | Current | Accepting new patients | |
| Lucich Chiropractic a Professional Corporation | Chiropractor | Current | Accepting new patients |
| North County Health Project Inc | Current | Accepting new patients |
Locations
24721 La Plaza
Dana Point, CA 92629
Phone (949) 240-6422
34189 Pacific Coast Hwy
Ste 203
Dana Point, CA 92629
Phone (949) 240-6422
1675 N Perris Blvd
Ste G1
Perris, CA 92571
Phone (730) 736-6700
150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700
Organizations & group practices 4
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.
-
- Chiropractor
- Dana Point, CA
- NPI 1164651485
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
- Federally Qualified Health Center (FQHC)
- Oceanside, CA
- NPI 1033980875
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559692800000",
"number": "1700945813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34189 PCH SUITE 203",
"city": "DANA POINT",
"state": "CA",
"postal_code": "92629",
"telephone_number": "949-240-6422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24721 LA PLAZA",
"city": "DANA POINT",
"state": "CA",
"postal_code": "92629",
"telephone_number": "949-240-7423",
"fax_number": "949-240-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCICH",
"first_name": "BURTON",
"middle_name": "ANTHONY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2019-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 24483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dana Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.