Individual provider Active NPI

Imani Lucas

  • Case Manager/Care Coordinator
  • Sacramento, CA
National Provider Identifier
1902680531
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3810 Broadway
Sacramento, CA 95817-3302
Phone
(800) 707-3358
NPI assigned
Aug 23, 2023
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1629738653MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
B5259801CAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United and Guided Case Manager/Care Coordinator PastSince Sep 1, 2023 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.

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.

Verify at the official NPI Registry.