Samantha Lacy Lucero-Daga, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004284 Issued in CA

Practice address

9701 W Pico Blvd
Ste 100
Los Angeles, CA 90035-4744

Phone

(310) 500-8277

NPI assigned

Aug 10, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1972057784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 E FOOTHILL BLVD",
            "address_2": "SUITE N",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864018",
            "telephone_number": "909-297-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 W PICO BLVD",
            "address_2": "STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354744",
            "telephone_number": "310-500-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO-DAGA",
        "first_name": "SAMANTHA",
        "middle_name": "LACY",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa N Lucas, MD
• Shekinah Lucas
• Elvin Luccon, FNP
• Satoko Luce
• Lucent Chiropractic
• Amy Lizette Lucero
• Diana Lucero
• Diane Christine Lucero, RD
• Edgar Lucero
• Jacqueline Elizabeth Lucero

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.