Renee Lucero Kang, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

20A17953 Issued in CA

Practice address

100 Clock Tower PL Ste 250
Carmel, CA 93923-8775

Phone

(831) 308-4570

Fax

(831) 222-1001

NPI assigned

Apr 18, 2018

Last updated

Jan 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Nicole Lucero Former name

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

Dermatology

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Golden State Dermatology Associates Inc.

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment Care Compare group NPD
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  Medicare reassignment NPD
• Stephanie J. Martin Inc

  dba Cal Coast Dermatology

  • Dermatology Physician
  • Encino, CA
  • NPI 1962075754
  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986

  Dermatology

  Medicare reassignment NPD
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• Hai Tran, M.D., Inc.

  • Dermatology Physician
  • Victorville, CA
  • NPI 1639366966
  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD
• Sutter Valley Medical Foundation

  dba Sutter North Medical Foundation

  • Multi-Specialty Clinic/Center
  • Yuba City, CA
  • NPI 1992939565
  NPD

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

• Community Hospital of the Monterey Peninsula

  • Psychiatric Hospital Unit
  • Monterey, CA
  • NPI 1679562169
  Care Compare affiliation
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  Care Compare affiliation

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1942797543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLOCK TOWER PL STE 250",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238775",
            "telephone_number": "831-308-4570",
            "fax_number": "831-222-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CLOCK TOWER PL STE 250",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238775",
            "telephone_number": "831-308-4570",
            "fax_number": "831-222-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 E Yosemite Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408219",
            "country_code": "US",
            "telephone_number": "209-722-7801",
            "fax_number": "209-722-1572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1324 Nelson Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505374",
            "country_code": "US",
            "telephone_number": "209-524-9481",
            "fax_number": "209-524-9486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANG",
        "first_name": "RENEE",
        "middle_name": "LUCERO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A17953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "LUCERO",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leah Johnson
• Andrew C Johnston, MD
• Jennifer Jean Jones, MPT,PHD
• Susan Victoria Jones, LICENSED MFT
• Michio Kaku, M.D.
• Rebecca Iza Katz, MD
• Anna Kauffman
• John Richard Kehoe, D.C.
• Suzan J Kelly, P.T., L..AC.
• Kennewick Radiology Group, PC

• Dermatology Physician in Carmel, CA
• Providers in Carmel, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.