Andrew Chignon Lucas Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC20684 Issued in CA

Practice address

5995 Brockton Ave
Suite C1
Riverside, CA 92506-1867

Phone

(951) 778-0063

NPI assigned

Jul 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1881859098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 BROCKTON AVE",
            "address_2": "SUITE C1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061867",
            "telephone_number": "951-778-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 BROCKTON AVE",
            "address_2": "SUITE C1",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061867",
            "telephone_number": "951-778-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "ANDREW",
        "middle_name": "CHIGNON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC20684",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanesa Lua
• Marissa Alice Lubich, RD
• Arsha Lubre
• Aaliyah D Lucas
• Amanda Lucas
• Cassieopia Norma-Nicole Lucas
• Deborah K. Lucas, D.O.
• Crystal Lucatero
• Jennifer Ann Lucatero, PA-C
• Diana Lucena

• Chiropractor in Riverside, CA
• Providers in Riverside, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.