Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb Matthew Lusk, MD

Individual provider Family Medicine Physician · NPI 1386149912

Caleb Matthew Lusk, MD is a Family Practice in San Pedro, California. Graduated from Southern Illinois University School of Medicine in 2018, 8 years ago. Practices with Harbor Community Clinic Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California and Connecticut.

Years since qualifying
8
Trained at
Southern Illinois University School of Medicine
Licensed in
CA, CT
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

593 W 6th St
San Pedro, CA 90731-2521
Phone: (310) 547-0202
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X · Licence A165385 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 69006 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386149912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address593 W 6th St, San Pedro, CA 90731-2521

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Harbor Community Clinic Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Pedro