Active NPI
Luisa Lucero, CNM
- Advanced Practice Midwife
- Ukiah, CA
National Provider Identifier
1710392188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236191
- Practice address
- 333 Laws Ave
Ukiah, CA 95482-6540 - Phone
- (707) 468-1010
- Fax
- (707) 462-7532
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APRN-1748 | HI | |
| Advanced Practice Midwife | 367A00000X | 236191 | CA | Primary |
Addresses
Primary practice location
333 Laws Ave
Ukiah, CA 95482-6540
Mailing address
333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 498-1010
Other practice location 1
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2000
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Current | Accepting new patients | |
| Castle Medical Center | Past | Accepting new patients | |
| Mendocino Community Health Clinic, Inc. | Past | Accepting new patients |
Locations
333 Laws Ave
Ukiah, CA 95482
Phone (707) 463-1113
Interoperability endpoints
- llucero356458@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1497961106
-
dba Dora Street Health Center
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1750809463
-
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1811958952
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1235262114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1710392188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LAWS AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826540",
"telephone_number": "707-498-1010",
"fax_number": "707-462-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAWS AVE",
"city": "UKIAH",
"state": "CA",
"postal_code": "954826540",
"telephone_number": "707-468-1010",
"fax_number": "707-462-7532"
}
],
"practiceLocations": [
{
"address_1": "1010 Pensacola St",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968142118",
"country_code": "US",
"telephone_number": "808-432-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCERO",
"first_name": "LUISA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "HI",
"license": "APRN-1748",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "236191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.