Dzenan Lulic, M.D., a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DZENAN LULIC, M.D., A MEDICAL CORPORATION

Practice address

40700 California Oaks Rd Ste 207
Murrieta, CA 92562-5789

Phone

(951) 387-9817

NPI assigned

Jan 5, 2019

Organization subpart

No

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

Authorized official

Name

Dzenan Lulic, M.D.NPI 1356503791

Title

President

Phone

(951) 387-9817

Specialties & licenses 1

Addresses

Other names 1

• Cal Oaks Primary Care/Lucali Aesthetic Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dzenan Lulic, M.D.

  • General Practice Physician
  • Murrieta, CA
  • NPI 1356503791
  Medicare reassignment Care Compare group Authorized official
• Carrie Gerdik, FNP

  • Community Health Nurse Practitioner
  • Murrieta, CA
  • NPI 1932451853
  Medicare reassignment Care Compare group NPD
• Zohra Damawand, FNP

  • Family Nurse Practitioner
  • Murrieta, CA
  • NPI 1043799703
  Medicare reassignment NPD
• Lilia Castro, NP

  • Family Nurse Practitioner
  • Murrieta, CA
  • NPI 1568294353
  NPD

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668297600000",
    "number": "1821561572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 207",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-387-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DZENAN LULIC, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "LULIC",
        "authorized_official_first_name": "DZENAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-387-9817",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cal Oaks Primary Care/Lucali Aesthetic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Duplessis
• Rondey De Wayne Dupree
• Traci Lee Dyer, PA
• Carla Dykes, MA
• Dynamic Motion Physical Therapy Inc
• Lydia Eakes
• Sherice Earl
• Mary Eastham, APRN
• Guadalupe Eaton
• Kelli J Eberly

• General Practice Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.