Active NPI
Theresa A Lueck, M.D.
- Neonatal-Perinatal Medicine Physician
- Santa Barbara, CA
National Provider Identifier
1821157108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- G56657
- Practice address
- Pueblo at Bath Streets
Santa Barbara, CA 93102 - Phone
- (805) 569-7510
- Fax
- (949) 366-2390
- NPI assigned
- Dec 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | G56657 | CA | Primary |
Addresses
Primary practice location
Pueblo at Bath Streets
Santa Barbara, CA 93102
Mailing address
PO Box 1359
San Clemente, CA 92674-1359
Phone (949) 492-3514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G566570 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G56657 | CA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1821157108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926741359",
"telephone_number": "949-492-3514",
"fax_number": "949-366-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PUEBLO AT BATH STREETS",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93102",
"telephone_number": "805-569-7510",
"fax_number": "949-366-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUECK",
"first_name": "THERESA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "G56657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G566570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.