Active NPI
Jesus Lucas, M.D., PHD.
- Family Medicine Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-22329
- Practice address
- 915 N King St
Honolulu, HI 96817-4544 - Phone
- (808) 848-1438
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A76832 | CA | |
| Family Medicine Physician | 207Q00000X | MD-22329 | HI | Primary |
Addresses
Primary practice location
915 N King St
Honolulu, HI 96817-4544
Mailing address
1717 E Vista Chino Suite A7 # 262
Palm Springs, CA 92262
Phone (760) 774-6442
Other practice location 1
1515 N Sunrise Way
Palm Springs, CA 92262-5398
Phone (760) 778-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
915 N King St
Honolulu, HI 96817-4544
Phone (808) 848-1438
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalihi Palama Health Center | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Kalihi Palama Health Center | Current | Accepting new patients |
Locations
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
4065 County Circle Dr
Rm 403
Riverside, CA 92503
915 N King St
Honolulu, HI 96817
Phone (808) 848-1438
710 N King St
Honolulu, HI 96817
Phone (808) 843-7500
Interoperability endpoints
- jlucas96850@direct.llu.edu
- jesus.lucas.1@28780.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1457304966
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1235908831
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1790703197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 E VISTA CHINO SUITE A7 # 262",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "92262",
"telephone_number": "760-774-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174544",
"telephone_number": "808-848-1438"
}
],
"practiceLocations": [
{
"address_1": "1515 N Sunrise Way",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "CA",
"postal_code": "922625398",
"country_code": "US",
"telephone_number": "760-778-2210",
"fax_number": "760-778-2214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "JESUS",
"credential": "M.D., PHD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A76832",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-22329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.
- 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.