Individual provider Active NPI

Jovie De Leon-Luck, NP

  • Acute Care Clinical Nurse Specialist
  • Oakland, CA
National Provider Identifier
1992119960
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
3001 Issued in CA
Practice address
7991 Sunkist Dr
Oakland, CA 94605-3050
Phone
(510) 430-1729
NPI assigned
Jun 17, 2014
Last updated
Jun 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 3001 CA Primary

Addresses

Primary practice location

7991 Sunkist Dr
Oakland, CA 94605-3050

Mailing address

7991 Sunkist Dr
Oakland, CA 94605-3050
Phone (510) 430-1729

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150711000199 CA Practitioner - Nurse Practitioner 1850603390 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nabil K Abudayeh M D Professional CorporationGroup PAC ID 3971699455, 2 clinicians
Golden State Medical Center PCGroup PAC ID 2365857612, 2 clinicians

Practice addresses (Care Compare)

20700 Lake Chabot Rd
Suite 107
Castro Valley, CA 94546-5402
Phone (510) 886-6878

2551 San Ramon Valley Blvd
Suite 108
San Ramon, CA 94583-1661
Phone (925) 838-4462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3001CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council CurrentSince Nov 14, 2018 Accepting new patients
The West Oakland Health Council CurrentSince Nov 14, 2018 Accepting new patients
Nabil K Abudayeh MD Professional Corporation CurrentSince Mar 1, 2022 Accepting new patients
Golden State Medical Center PC CurrentSince Feb 15, 2026 Accepting new patients
Bay Area Rehab & Medical Past Accepting new patients
The West Oakland Health Council Past Accepting new patients

Locations

2960 Sacramento St
Berkeley, CA 94702
Phone (510) 549-3166

20700 Lake Chabot Rd
Ste 107
Castro Valley, CA 94546
Phone (510) 886-5515

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

2551 San Ramon Valley Blvd
Ste 108
San Ramon, CA 94583
Phone (925) 838-4462

1210 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 299-9022

Organizations & group practices 6

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1992119960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7991 SUNKIST DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053050",
            "telephone_number": "510-430-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7991 SUNKIST DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053050",
            "telephone_number": "510-430-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON-LUCK",
        "first_name": "JOVIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "CA",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.