EDGAR A LUCIDI (NPI# 1588678841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588678841 |
Entity Type | Individual |
Full Name | EDGAR A LUCIDI |
Credential | MD |
Practice Address |
328 Hazel Drive Corona Del Mar CA 92625-3031 |
Practice Telephone | 9496440155 |
Mailing Telephone | 9496440155 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2007-11-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
A18184 | CA | Eye and Vision Services Providers |
N | 207W00000X | Ophthalmology | A18184 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A181840 | 05 |
Street Address |
328 HAZEL DRIVE |
City | CORONA DEL MAR |
State | CA |
Zip Code | 92625-3031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083192041 | Lisa Menaker Quinn | Marriage & Family Therapist | 2345 E. Coast Highway, Suite D, Corona Del Mar, CA 92625 | 2018-08-01 |
1205210945 | Kelly Mccann | Marriage & Family Therapist | 2721 East Pacific Coast Highway, Suite 209, Corona Del Mar, CA 92625 | 2015-07-13 |
1831501113 | Bert Shepley | Marriage & Family Therapist | 1111 Bayside Drive, Suite 212, Corona Del Mar, CA 92625 | 2014-05-21 |
1295157741 | Jamie Young | Marriage & Family Therapist | 505 Larkpur Ave, Corona Del Mar, CA 92625 | 2014-01-16 |
1225321185 | Miramar Health Inc | Substance Abuse Rehabilitation Facility | 435 Dahlia Avenue, Newport Beach, CA 92625 | 2011-05-25 |
1972745362 | Andrew W Spath | Dentist | 2121 E Coast Hwy Ste 290, Corona Del Mar, CA 92625 | 2009-03-31 |
1790934743 | James Hair | Dentist | 3800 E. Pacific Coast Hwy., #2, Corona Del Mar, CA 92625 | 2008-09-15 |
1912173006 | Kevin J Taylor Dds Inc | Dentist | 2716 East Coast Hwy, Corona Del Mar, CA 92625 | 2008-05-08 |
1306048939 | Stephen Douglas Hutchins | Chiropractor | 2101 E Coast Hwy, Corona Del Mar, CA 92625 | 2007-06-05 |
1619094893 | Burr Vonmaur | Plastic Surgery | 1101 Bayside Drive, Suite 100, Corona Del Mar, CA 92625 | 2007-03-23 |
Find all providers in zip 92625 |
Taxonomy Code | 156FX1100X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ophthalmic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245718691 | Artansia Washington | Technician/Technologist | 535 W Flora St Apt 1, Stockton, CA 95203-2433 | 2018-07-29 |
1790972693 | Ocular Surgery Medical Associates | Technician/Technologist | 1245 Wilshire Blvd Ste 801, Los Angeles, CA 90017-4808 | 2007-09-25 |
1679696124 | Eyes of Bay | Technician/Technologist | 1005 El Camino Real, Redwood City, CA 94063-1692 | 2007-04-09 |
1679609234 | Hoang Duy Nguyen | Technician/Technologist | 9371 Kramer Ave, Ste. F, Westminster, CA 92683-5938 | 2007-02-26 |
1598832909 | Fullerton Eye Medical Center | Technician/Technologist | 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 | 2006-11-29 |
1013083518 | Margaret T Taw | Technician/Technologist | 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 | 2006-11-27 |
1720189061 | Rose Medical Group | Technician/Technologist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
1023030301 | Robert Arthur Yohai | Technician/Technologist | 864 2nd St, Santa Rosa, CA 95404-4610 | 2006-07-24 |
1255351755 | Gregory Clifton Tesluk | Technician/Technologist | 400 E Orangeburg Ave Ste 2, Modesto, CA 95350-5365 | 2006-07-20 |
1144248881 | J. Dennis Steen | Technician/Technologist | 1825 Main St, Susanville, CA 96130-4518 | 2006-07-18 |
Find all providers with the same taxonomy |
City | CORONA DEL MAR |
Zip Code | 92625 |
Please comment or provide details below to improve the information on EDGAR A LUCIDI.
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.