Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Ann Lucatero, PA-C

Individual provider Physician Assistant · NPI 1659808376

Jennifer Ann Lucatero, PA-C is a Physician Assistant in Riverside, California. Qualified in 2017, 9 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9041 Magnolia Ave Ste 206
Riverside, CA 92503-3956
Phone: (951) 354-2220
Fax: (951) 354-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 E 2nd St, Pomona, CA 91766-1854 — (510) 402-9246

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA54823 (CA)

Record details

NPI number1659808376
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJune 2, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Riverside