NPI Code Details Logo

NPI 1225108533

NPI 1225108533 : ARCHANA C LUCCHESI M.D. : SAN LUIS OBISPO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225108533
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ARCHANA C LUCCHESI M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/08/2006
-----------------------------------------------------
    Last Update Date     |    08/20/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6729 MONTE RD 
-----------------------------------------------------
    City                 |    SAN LUIS OBISPO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93401-8050
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-546-3800
-----------------------------------------------------
    Fax                  |    858-546-3900
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    13280 EVENING CREEK DR S STE 110 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92128-4109
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-546-3800
-----------------------------------------------------
    Fax                  |    858-546-3900
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    MD473206
-----------------------------------------------------
    License Number State |    PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    E-14216
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    37952
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    25MA08748100
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2085R0202X
-----------------------------------------------------
    Taxonomy Name        |    Diagnostic Radiology Physician
-----------------------------------------------------
    License Number       |    G84084
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.