Individual provider Active NPI

Susan K. Lucas, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1932185659
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A84132 Issued in CA
Practice address
700 25TH Ave
San Francisco, CA 94121-3612
Phone
(415) 751-1446
Fax
(415) 752-6312
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A84132 CA Primary

Addresses

Primary practice location

700 25TH Ave
San Francisco, CA 94121-3612

Mailing address

700 25TH Ave
San Francisco, CA 94121-3612
Phone (415) 751-1446

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84132CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients
Susan L Fullemann MD Past Accepting new patients
Richmond District Medical Group, Inc. Past Accepting new patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
Berkeley Primary Care Medical Corporation Family Medicine PastSince Nov 1, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2948/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/12068/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196467200000",
    "number": "1932185659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 25TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213612",
            "telephone_number": "415-751-1446",
            "fax_number": "415-752-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 25TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213612",
            "telephone_number": "415-751-1446",
            "fax_number": "415-752-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SUSAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A84132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.