LUCAS G BINGHAM (NPI# 1295700987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295700987 |
| Entity Type | Individual |
| Full Name | LUCAS G BINGHAM |
| Credential | M.D. |
| Practice Address |
600 Corporate Dr Ste 100 Ladera Ranch CA 92694-2106 |
| Practice Telephone | 9493888022 |
| Practice Fax Number | 9493888033 |
| Mailing Telephone | 9493888022 |
| Mailing Fax Number | 9493888033 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A104512 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 36857 | AZ | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 47852 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TRICARE | 860800150 85259 B201 | 01 |
| AZ | 265506 | 05 | |
| MN | 783850600 | 05 | |
| AZ | RAILROAD MEDICARE | P00425647 | 01 |
| Street Address |
600 CORPORATE DR STE 100 |
| City | LADERA RANCH |
| State | CA |
| Zip Code | 92694-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497030126 | Scott N. Macadam, Chiropractic Corp | Chiropractor | 600 Corporate Dr, Suite 190, Ladera Ranch, CA 92694-2106 | 2011-10-13 |
| 1104078310 | Jyoti Pathria Mundi | Dermatology | 600 Corporate Dr, Suite 240, Ladera Ranch, CA 92694-2111 | 2008-10-21 |
| 1639349525 | Allen M Doezie, M.d. PC | Surgery | 600 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2106 | 2008-03-06 |
| 1942488267 | Stephanie Kelter Fogelson | Dermatology | 600 Corporate Dr, Suite #240, Ladera Ranch, CA 92694-2106 | 2008-02-08 |
| 1487847547 | Pacific Womens Center | Specialist | 600 Corporate Dr, 210, Ladera Ranch, CA 92694-2106 | 2007-08-22 |
| 1043439516 | Sue Abravesh M.d. Inc. | Obstetrics & Gynecology | 600 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2106 | 2007-04-24 |
| 1730201807 | Dr. Soheyla Marzvaan PC | Dentist | 600 Corporate Dr, Suite 220, Ladera Ranch, CA 92694-2106 | 2007-04-06 |
| 1528198934 | Allen M. Doezie | Plastic Surgery | 600 Corporate Dr, Suite 100, Ladera Ranch, CA 92694-2106 | 2007-03-06 |
| 1902932338 | Richard S Lee | Dentist | 600 Corporate Dr, Suite 200, Ladera Ranch, CA 92694-2106 | 2007-02-27 |
| 1336275163 | Hszieh and Lee Professional Dental Corporation | Dentist | 600 Corporate Dr, Suite 200, Ladera Ranch, CA 92694-2106 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272528 | Orchards Hc LLC | Skilled Nursing Facility | 1 Amistad Drive, Rancho Mission Viejo, CA 92694 | 2020-10-13 |
| 1932690054 | Lauren Pamela Ramirez | Speech-Language Pathologist | 777 Corporate Dr. Ste #230, Ladera Ranch, CA 92694 | 2018-05-24 |
| 1568985091 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 30551 Gateway Pl, Rancho Mission Viejo, CA 92694 | 2017-07-17 |
| 1730635467 | Ginger Renee Hopkins | Physical Therapist | 2 Newkirk Road, Ladera Ranch, CA 92694 | 2016-09-01 |
| 1003283987 | Vigliarolo, D.d.s. Dental Corp | Dentist | 600 Corporate Dr #220, Ladera Ranch, CA 92694 | 2015-08-27 |
| 1629450358 | Medhat Fahim | Pharmacist | 27702 Crown Vally # B, Ladera Ranch, CA 92694 | 2015-06-18 |
| 1508291436 | Lucas Bingham M.d., Inc. | Dermatology | 600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 | 2013-09-11 |
| 1861770083 | Christina Marie Bowles | Nurse Practitioner | 22 Downing St, Ladera Ranch, CA 92694 | 2011-07-22 |
| 1730499328 | Kimberly Ann Frank | Registered Nurse | 74 Garrison Loop, Ladera Ranch, CA 92694 | 2010-10-15 |
| 1578889390 | Let's Talk Speech & Language Therapy | Speech-Language Pathologist | 7 Merriweather Pl., Ladera Ranch, CA 92694 | 2010-04-19 |
| Find all providers in zip 92694 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508291436 | Lucas Bingham M.d., Inc. | Dermatology | 600 Corporate Dr Ste 100, Ladera Ranch, CA 92694 | 2013-09-11 |
| 1407989148 | Elizabeth V. Lener, M.d., Inc. | Dermatology | 600 Corporate Dr Ste 240, Ladera Ranch, CA 92694-2111 | 2007-03-13 |
| 1912998196 | Elizabeth V Lener | Dermatology | 600 Corporate Drive, Suite 240, Ladera Ranch, CA 92694-2111 | 2005-11-04 |
| 1104078310 | Jyoti Pathria Mundi | Dermatology | 600 Corporate Dr, Suite 240, Ladera Ranch, CA 92694-2111 | 2008-10-21 |
| 1942488267 | Stephanie Kelter Fogelson | Dermatology | 600 Corporate Dr, Suite #240, Ladera Ranch, CA 92694-2106 | 2008-02-08 |
| 1245246214 | Jane G. Khoury | Dermatology | 600 Corporate Dr, Suite 240, Ladera Ranch, CA 92694-2106 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1669081204 | Lucy Boyadzhian | Dermatology | 7472 Melrose Ave, Los Angeles, CA 90046-7524 | 2020-07-29 |
| 1033730981 | Adrianna Janell Browne, Md, Inc. | Dermatology | 8 Camino Encinas Ste 115, Orinda, CA 94563-3350 | 2020-05-01 |
| 1215564877 | Jasmine Khachatrian | Dermatology | 302 Sierra Woods Dr, Sierra Madre, CA 91024-1015 | 2020-03-24 |
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1245862101 | Yuval Bibi, A Professional Corporation | Dermatology | 7266 Franklin Ave Apt 321, Los Angeles, CA 90046-8324 | 2020-02-09 |
| 1457982001 | Modesty Joy Isaguirre | Dermatology | 140 S Grand Ave, Glendora, CA 91741-4259 | 2020-02-03 |
| 1790322063 | Mfc Dermatology | Dermatology | 3655 Lomita Blvd Ste 221, Torrance, CA 90505-1918 | 2019-12-05 |
| 1336784206 | Barbara Kinkle Pa Inc., A Physician Assistant Corporation | Dermatology | 24575 Hunt Ave, Corning, CA 96021-8607 | 2019-11-14 |
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | LADERA RANCH |
| Zip Code | 92694 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.