Individual provider Active NPI

Burton Anthony Lucich, D.C.

  • Chiropractor
  • Dana Point, CA
National Provider Identifier
1700945813
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 24483 Issued in CA
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

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20090731000348 CA Practitioner - Chiropractic 3678626108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1996
Medicare assignment
May accept Medicare assignment
Group practices
North County Health Project IncGroup PAC ID 2769390939, 56 clinicians

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

LicenseStateTypeSpecialty
24483CAMDAddiction (Substance Use Disorder) Counselor
DC 24483CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Feb 1, 2026 Accepting new patients
Lucich Chiropractic a Professional Corporation Chiropractor CurrentSince Jul 1, 2009 Accepting new patients
North County Health Project Inc CurrentSince Feb 1, 2026 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.

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.

Verify at the official NPI Registry.