LUCAS GRAHAM


Address: 3532 Monroe St, Riverside, CA 92504-6322
Phone: 9516874610

LUCAS GRAHAM (NPI# 1770088809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770088809
Entity Type Individual
Full Name LUCAS GRAHAM
Practice Address 3532 Monroe St
Riverside
CA 92504-6322
Mailing Address 1461 Laurelwood Cir
Corona
CA 92882-8723
Practice Telephone 9516874610
Enumeration Date 2018-03-29
Last Update Date 2018-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers LUCAS GRAHAM

NPI Name Taxonomy Address Enumeration
1205321379 Lucas M Graham Nurse Practitioner 2854 Bell St, Zanesville, OH 43701-1790 2018-06-29

Office Location

Street Address 3532 MONROE ST
City RIVERSIDE
State CA
Zip Code 92504-6322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982109237 Jonah D Bourbinay Student in an Organized Health Care Education/Training Program 3532 Monroe St, Riverside, CA 92504-6322 2018-03-28
1962968339 Isalei Tiumalu Tauaese Specialist/Technologist 3532 Monroe St, Riverside, CA 92504-6322 2019-02-11
1316402118 Christina Louise Acevedo Student in an Organized Health Care Education/Training Program 3532 Monroe St, Riverside, CA 92504-6322 2019-02-05
1679037097 Audrey Megan Tseng Student in an Organized Health Care Education/Training Program 3532 Monroe St, Riverside, CA 92504-6322 2019-01-30
1235693524 Teryn Beal Student in an Organized Health Care Education/Training Program 3532 Monroe St, Riverside, CA 92504-6322 2019-01-30
1548724198 Frances Althea Lao Specialist/Technologist 3532 Monroe St, Riverside, CA 92504-6322 2019-01-29
1033673678 Kevin Minhkha To Specialist/Technologist 3532 Monroe St, Riverside, CA 92504-6322 2019-01-28
1942764584 Ariana Emde Specialist/Technologist 3532 Monroe St, Riverside, CA 92504-6322 2019-01-28
1851855498 Heather Ann Henderson Specialist/Technologist 3532 Monroe St, Riverside, CA 92504-6322 2019-01-28
1760946305 Michelle Benjamin Specialist/Technologist 3532 Monroe St, Riverside, CA 92504-6322 2019-01-28
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417573676 Chloe Ivana Licon Marriage & Family Therapist New Beginnings Residential Treatment Facilities, 2900 Adams St, Riverside, CA 92504 2020-06-23
1720628993 Palm Lily LLC Non-emergency Medical Transport (VAN) 2900 Adams Street Suite A435, Riverside, CA 92504 2020-01-15
1538630959 Just for Kids Pediatric Dentistry Raymond Wang Dentist 7071 Indiana Ave, Riverside, CA 92504 2018-12-11
1477047835 Deborah Kay Allen Peer Specialist 6939 Morningside Ave, Riverside, CA 92504 2018-06-19
1255833794 Adiana Loya Student in an Organized Health Care Education/Training Program 7550 Orchard St Apt #58, Riverside, CA 92504 2018-03-01
1023524162 Chiara Heyer Counselor 4130 Adams St Ste B, Riverside, CA 92504 2017-12-27
1801313408 Gustavo Gallo Avelar Behavioral Analyst 4125 Rucker Ln, Riverside, CA 92504 2017-08-24
1891226205 Susana Herold Assistant Behavior Analyst 17460 Krameria Ave, Riverside, CA 92504 2017-03-27
1710356167 Erandi Portugal Counselor 6711 Alrington Avenue, Riverside, CA 92504 2015-09-16
1548636012 Candace Lauren Bynder Counselor 6711 Arlington Avenue, Riverside, CA 92504 2015-08-19
Find all providers in zip 92504

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447870365 Monica Sameh Hanna Student in an Organized Health Care Education/Training Program University of California Riverside School of Medicine, 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 2020-04-21
1861011876 Monika Ellyn Garcia Student in an Organized Health Care Education/Training Program 14350 Meridian Parkway Box #2, Riverside, CA 92518 2020-04-09
1568099976 Victoria Lee Student in an Organized Health Care Education/Training Program Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 2020-03-25
1114553765 Pamela Picchi Student in an Organized Health Care Education/Training Program 111 Prescott Ave, Riverside, RI 02915-1944 2020-03-16
1538794094 Jason Washington Student in an Organized Health Care Education/Training Program 4301 La Sierra Ave Apt 50, Riverside, CA 92505-2906 2020-03-05
1144860404 Brian Jisu Shin Student in an Organized Health Care Education/Training Program 8293 Perla Dr, Riverside, CA 92504-2419 2020-01-14
1609415116 Broderich Alexander Durley Student in an Organized Health Care Education/Training Program 14235 Oakley Dr, Riverside, CA 92503-7236 2019-12-31
1861031353 Alex Tovar Student in an Organized Health Care Education/Training Program 16901 Clementine Ct, Riverside, CA 92503-6935 2019-12-31
1477192979 Gregory David White Student in an Organized Health Care Education/Training Program 7965 Los Arboles Pl, Riverside, CA 92504-3530 2019-12-31
1407497076 Guadalupe Rocha Student in an Organized Health Care Education/Training Program 10135 Hillsborough Ln, Riverside, CA 92503-1018 2019-10-03
Find all providers in RIVERSIDE

Competitor

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City RIVERSIDE
Zip Code 92504

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Dataset Information

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.

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