Individual provider Active NPI

Peter Michael Lucas, M.D.

  • Anesthesiology Physician
  • Escondido, CA
National Provider Identifier
1790786580
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G86863 Issued in CA
Practice address
535 E Valley Pkwy
Escondido, CA 92025-3048
Phone
(760) 739-3000
NPI assigned
Aug 3, 2005
Last updated
May 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G86863 CA Primary

Addresses

Primary practice location

535 E Valley Pkwy
Escondido, CA 92025-3048

Mailing address

16955 Via del Campo
Ste 215
San Diego, CA 92127
Phone (858) 673-6100

Other identifiers 1

IdentifierTypeStateIssuer
00G868630MedicaidCA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031112000773 CA Practitioner - Anesthesiology 1759294077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Perelman School of Med at the University of Pennsylvania, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of California Medical Group IncGroup PAC ID 3375456692, 37 clinicians

Practice addresses (Care Compare)

41900 Winchester Rd
Suite 102
Temecula, CA 92590-3426
Phone (951) 461-6502

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86863CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Consultants of California Medical Group Inc Anesthesiology CurrentSince Jan 1, 2005 Accepting new patients
Peter M Lucas M D Inc Anesthesiology CurrentSince Jan 1, 1990 Accepting new patients
American Hospital Management Corporation Past Accepting new patients

Locations

2130 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (858) 485-1111

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

332 S Juniper St
Ste 108
Escondido, CA 92025
Phone (619) 746-1755

343 E 2nd Ave
Escondido, CA 92025
Phone (760) 480-6066

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

16955 Via del Campo
Ste 215
San Diego, CA 92127
Phone (858) 673-6100

17190 Bernardo Center Dr
San Diego, CA 92128
Phone (619) 675-3100

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1790786580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16955 VIA DEL CAMPO",
            "address_2": "STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92127",
            "telephone_number": "858-673-6100",
            "fax_number": "858-673-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253048",
            "telephone_number": "760-739-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G86863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G868630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.