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

Jeremy Lucero

Individual provider Family Nurse Practitioner · NPI 1720660293

Jeremy Lucero is a Nurse Practitioner in Rancho Cucamonga, California. Qualified in 2020, 6 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

12347 Claredon Dr Unit 1
Rancho Cucamonga, CA 91739-8068
Phone: (909) 912-2033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95017196 (CA)

Record details

NPI number1720660293
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2021
Last updated in NPPESApril 24, 2021
Certification dateApril 24, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Rancho Cucamonga