Active NPI
Imani Lucas
- Case Manager/Care Coordinator
- Sacramento, CA
National Provider Identifier
1902680531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3810 Broadway
Sacramento, CA 95817-3302 - Phone
- (800) 707-3358
- NPI assigned
- Aug 23, 2023
- Last updated
- Aug 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | B5259801 | CA | |
| Peer Specialist | 175T00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Doula | 374J00000X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | Primary |
Addresses
Primary practice location
3810 Broadway
Sacramento, CA 95817-3302
Mailing address
3810 Broadway
Sacramento, CA 95817-3302
Phone (562) 286-1492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629738653 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | unitedandguided@direct.practicefusion.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B5259801 | CA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United and Guided | Case Manager/Care Coordinator | Past | Accepting new patients |
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.
-
- Doula
- Sacramento, CA
- NPI 1588386429
-
- Community Health Worker
- Sacramento, CA
- NPI 1629738653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1902680531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 BROADWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958173302",
"telephone_number": "562-286-1492",
"fax_number": "916-312-3857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 BROADWAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958173302",
"telephone_number": "800-707-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "IMANI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-23",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "B5259801",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629738653",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "unitedandguided@direct.practicefusion.com",
"affiliation": "N",
"endpointDescription": "The endpoint is used to securely send and receive patient health information and other clinical data via Direct Messaging through our Practice Fusion electronic health record system, facilitating safe and efficient communication between healthcare providers as part of coordinated patient care.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3810 Broadway",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958173302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.