Individual provider Active NPI

Lucy Lan, MD

  • Psychiatry Physician
  • North Las Vegas, NV
National Provider Identifier
1760987408
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A176278 Issued in CA
Practice address
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone
(702) 791-9000
NPI assigned
Mar 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 287255 MA
Psychiatry Physician 2084P0800X A176278 CA Primary

Addresses

Primary practice location

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Mailing address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (404) 964-8657

Other practice location 1

2590 Grant Rd
Mountain View, CA 94040-4302
Phone (404) 964-8657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230612001772 CA Practitioner - Psychiatry 1153671508 Reassigns benefits to 2 organizations
I20250627000499 NV Practitioner - Psychiatry 1153671508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wake Forest University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Physician ClinicsGroup PAC ID 1153479027, 104 clinicians

Practice addresses (Care Compare)

775 Fleischmann Way
FL 2
Carson City, NV 89703-2995
Phone (775) 445-7756

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176278CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Sep 25, 2023 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Jun 10, 2025 Accepting new patients
Carson Tahoe Regional Healthcare CurrentSince Jun 10, 2025 Accepting new patients
Altos Health Partners Psychiatry CurrentSince May 30, 2023 Accepting new patients
Carson Tahoe Physician Clinics CurrentSince Jun 10, 2025 Accepting new patients
CTH Physicians Clinic Psychiatry Current Accepting new patients
Boston University Dermatology, Inc. Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

775 Fleischmann Way
Fl 2
Carson City, NV 89703
Phone (775) 445-5632

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

Interoperability endpoints

  • Direct secure messaging: llan150914@icare.elcaminohospital.org
  • Direct secure messaging: llan780786@direct.med.utah.edu

Organizations & group practices 8

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1760987408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "404-964-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 N PECOS RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890864400",
            "telephone_number": "702-791-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404302",
            "country_code": "US",
            "telephone_number": "404-964-8657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAN",
        "first_name": "LUCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "287255",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A176278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.