Gary M Lucchesi, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G83924 Issued in CA

Practice address

105 S Main St Ste 4
Templeton, CA 93465-9601

Phone

(805) 434-1869

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Emergency Medicine

Education

Rush Medical College of Rush University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Coast Emergency PhysiciansGroup PAC ID 9234114067, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
• Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Coast Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Templeton, CA
  • NPI 1972535557
  Medicare reassignment Care Compare group NPD
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613
  NPD (past)

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

• Sierra Vista Hospital, Inc.

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1639101116
  Care Compare affiliation
• Twin Cities Community Hospital, Inc.

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1861450348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 MONTE RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934018050",
            "telephone_number": "805-602-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MAIN ST STE 4",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659601",
            "telephone_number": "805-434-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCCHESI",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "G83924",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G83924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G839240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Glenn Longwill, D.C.
• Pamela Signe Lovell, D.C.
• Jill Marie Lowers, MD
• Nina Lu
• Timothy Lu, M.D.
• George P. Lum, MD
• Megan Elizabeth Macha, NP
• Adriana Magee, FNP
• Mareeni T Stanislaus MD a Medical Corporation
• Marlene M Cordero M.D Incorporated.

• Emergency Medicine Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.

Verify at the official NPI Registry.