Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew Luckey III, MD

Individual provider Specialist · NPI 1568516086

Dr. Andrew Luckey III, MD is a General Surgery in Simi Valley, California. Graduated from Howard University College of Medicine in 1998, 28 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
Howard University College of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2650 Jones Way Ste 2
Simi Valley, CA 93065-1203
Phone: (805) 577-7977
Fax: (805) 577-0745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A69654 (CA)

Record details

NPI number1568516086
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESApril 21, 2016

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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