DAMARA KATHLEEN LUCE (NPI# 1790210540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790210540 |
| Entity Type | Individual |
| Full Name | DAMARA KATHLEEN LUCE |
| Credential | PA-C |
| Practice Address |
1515 Fairview St Apt. C Berkeley CA 94703-2317 |
| Mailing Address |
428 N Spring St Ukiah CA 95482-4221 |
| Practice Telephone | 5103651207 |
| Mailing Telephone | 5103651207 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 54385 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1515 FAIRVIEW ST APT. C |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1154882835 | Isabella Maria Killion | Physician Assistant | 1100 The Alameda, Berkeley, CA 94707-2502 | 2019-03-26 |
| 1033676622 | Lucas Fogarty | Physician Assistant | 2222 Prince St, Berkeley, CA 94705-1819 | 2019-03-01 |
| 1720592009 | Tinebeta Daniel Mekonnen | Physician Assistant | 2762 Mathews St, Berkeley, CA 94702-2245 | 2017-11-25 |
| 1356878136 | Albert Ahoy | Physician Assistant | 2770 Acton St, Berkeley, CA 94702-2334 | 2017-05-11 |
| 1528396868 | Stacey Phelps | Physician Assistant | 2500 Milvia St Ste 218, Berkeley, CA 94704-2636 | 2009-11-24 |
| 1124222153 | Luz Munoz | Physician Assistant | 2031 Sixth St, Berkeley, CA 94710 | 2007-06-13 |
| 1538241260 | Annette Delilah Pizano | Physician Assistant | 2920 Telegraph Ave, Berkeley, CA 94705-2031 | 2006-10-20 |
| 1336158328 | Terri D Pagano | Physician Assistant | 2510 Webster St, Suite 300, Berkeley, CA 94705-2557 | 2006-08-07 |
| 1073533600 | Cecilia E. Brown | Physician Assistant | 2636 Telegraph Ave., Berkeley, CA 94704-3322 | 2006-07-19 |
| Find all providers in BERKELEY | ||||
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| 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.