Diwana Marie T Lucero, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

112724 Issued in CA

Practice address

626 S 2ND Ave
Covina, CA 91723-3517

Phone

(626) 709-3332

NPI assigned

Jan 24, 2025

Last updated

Sep 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1720890783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517",
            "telephone_number": "626-709-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517",
            "telephone_number": "626-709-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "DIWANA MARIE",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Lu, MD
• Shaoru Lu, LA.C
• Kenny Luc, DPT
• Leslee Lucas
• Morgan Luce
• Amanda Lucha
• Brian Lucio
• Derrion Ludgood
• Ana Lorena Luevano, PUPIL PERSONNEL SERV
• Gina Lugo

• General Practice Dentistry in Covina, CA
• Providers in Covina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.