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

Dr. Kenneth Grant Lucero, MD

Individual provider Family Medicine Physician · NPI 1417079989

Dr. Kenneth Grant Lucero, MD is a Family Practice in Blythe, California. Graduated from University of California, Geffen School of Medicine in 1985, 41 years ago. Practices with Clinicas De Salud Del Pueblo Inc, a 43-clinician group. Licensed in California.

Years since qualifying
41
Trained at
University of California, Geffen School 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

1415 W Hobsonway
Blythe, CA 92225-1479
Phone: (760) 922-4981
Fax: (760) 922-4442
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G60508 (CA)

Record details

NPI number1417079989
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Clinicas De Salud Del Pueblo Inc — 43 clinicians
Accepts Medicare assignment Not indicated

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