LUCAS C MCCULLY (NPI# 1154567659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154567659 |
| Entity Type | Individual |
| Full Name | LUCAS C MCCULLY |
| Credential | DC |
| Practice Address |
4655 Hoen Ave Ste 8 Santa Rosa CA 95405-7830 |
| Practice Telephone | (707) 568-6900 |
| Practice Fax Number | 7075686901 |
| Mailing Telephone | (707) 568-6900 |
| Mailing Fax Number | 7075686901 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2017-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60043071 | WA | Chiropractic Providers |
| Street Address |
4655 HOEN AVE STE 8 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699136408 | Ridgway Chiropractic Inc | Chiropractor | 1105 N Dutton Ave Ste D, Santa Rosa, CA 95401-4683 | 2016-03-08 |
| 1740455492 | Marjan Kaveh | Chiropractor | 95 Montgomery Dr Ste 202, Santa Rosa, CA 95404-3202 | 2008-04-24 |
| 1952576753 | Jasmine Jackson | Chiropractor | 1105 N Dutton Ave, Suite D, Santa Rosa, CA 95401-4682 | 2008-04-23 |
| 1205008737 | Helen Mary Thomas | Chiropractor | 2200 County Center Dr Ste B, Santa Rosa, CA 95403 | 2008-03-25 |
| 1548459324 | Donald James Wright | Chiropractor | 349 College Ave, Santa Rosa, CA 95401-5117 | 2007-10-17 |
| 1720276645 | Thomas Collins | Chiropractor | 1212 Farmers Ln Ste 2, Santa Rosa, CA 95405-6747 | 2007-10-04 |
| 1588858427 | David Edqard Miller | Chiropractor | 1725 King St, Santa Rosa, CA 95404-2916 | 2007-09-04 |
| 1982897377 | Michael Gene Ridgeway | Chiropractor | 777 Farmers Ln, Santa Rosa, CA 95405-6701 | 2007-08-20 |
| 1912104795 | Craig S Hartman | Chiropractor | 3861 Montgomery Dr, Santa Rosa, CA 95405-5244 | 2007-06-27 |
| 1356546519 | Denise Ellen Prue | Chiropractor | 3616 Greenleaf Drive, Santa Rosa, CA 95401 | 2007-06-18 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on LUCAS C MCCULLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.