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MARY GRACE LUCAS ABU MD
NPI 1083963631
Specialist in Riverside, CA

Active since August 29, 2012PECOS Enrolled
10800 MAGNOLIA AVE., RIVERSIDE, CA 92505(866) 984-7483(951) 353-5375 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Sep 14, 2016 (2 updates tracked since 2016).

About Mary Grace Lucas Abu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY GRACE LUCAS ABU MD (NPI 1083963631) is an individual specialist in Riverside, California, licensed in California (A136578) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083963631
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY GRACE LUCAS ABUCredential: MD
Location Address10800 MAGNOLIA AVE.Riverside, CA 92505
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043 · (866) 984-7483 · Fax (951) 353-5373
Phone(866) 984-7483
Fax(951) 353-5375
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1083963631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A136578
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10800 MAGNOLIA AVE., Riverside, CA 92505
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Other Names 1

Professional Name (2)Mary Grace Lucas Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Grace Lucas Abu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IRIS YUN-CHI NG PT
Physical Therapist
10800 MAGNOLIA AVE.
RIVERSIDE, CA 92505
Riverside County (951) 353-4670
MR. REBECKAH RAY SORENSEN O.T.R./L
Occupational Therapist (Pediatrics)
10800 MAGNOLIA AVE.
RIVERSIDE, CA 92505
Riverside County (951) 353-4670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Grace Abu's NPI number?

The NPI number for Mary Grace Abu is 1083963631. It was assigned to this individual provider in the NPPES registry on August 29, 2012. The provider is also known as Mary Grace Lucas MD.

Where is Mary Grace Abu located?

Mary Grace Abu practices at 10800 Magnolia Ave., Riverside, CA 92505. The listed phone number is (866) 984-7483.

What is Mary Grace Abu's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mary Grace Abu enrolled in Medicare?

Yes. Mary Grace Abu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Grace Abu was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.