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

Romulo Atienza Lucasan III, FNP-C

Individual provider Family Nurse Practitioner · NPI 1396391470

Romulo Atienza Lucasan III, FNP-C is a Nurse Practitioner in San Bernardino, California. Qualified in 2019, 7 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1700 N Waterman Ave Ste 103
San Bernardino, CA 92404-5115
Phone: (909) 770-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 437 N Euclid Ave, Ontario, CA 91762-3456 — (909) 477-1166

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012368 (CA)

Record details

NPI number1396391470
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESNovember 23, 2025
Certification dateNovember 23, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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