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LUCAS JAMES PENDERGRASS
NPI 1285497479
Peer Specialist in Fresno, CA

Active since February 01, 2024
1040 N PLEASANT AVE, FRESNO, CA 93728(559) 899-0888 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucas James Pendergrass NPPES

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

LUCAS JAMES PENDERGRASS (NPI 1285497479) is an individual peer specialist in Fresno, California and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1285497479
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLUCAS JAMES PENDERGRASS
Location Address1040 N PLEASANT AVEFresno, CA 93728-2434
Mailing Address1040 N Pleasant AveFresno, CA 93728-2434 · (559) 899-0888
Phone(559) 899-0888
Sole ProprietorNo
Enumeration DateFebruary 1, 2024
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1285497479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1040 N PLEASANT AVE, Fresno, CA 93728
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Other Names 1

Other Name (5)Luke Pendergrass

Other Providers at the Same Location NPPES 20

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

ALEXANDER ROYFERNANDO HARWELL
Peer Specialist
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
ATHENA RENE ROBERTSON
Peer Specialist
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
CHARLES DARRELL SLOCUM JR.
Social Worker
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
VICTOR QUINONEZ
Day Training/Habilitation Specialist
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
ESTELLA NICOLE VERDUGO
Peer Specialist
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
DAISY NICOLE DELACRUZ MC- PSS
Peer Specialist
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
TERRANCE SMITH MCPSS
Peer Specialist
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 899-0888
MONIQUE JANICE SIMPSON
Counselor (Professional)
1040 N PLEASANT AVE
FRESNO, CA 93728
Fresno County (559) 889-0888

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 Lucas Pendergrass's NPI number?

The NPI number for Lucas Pendergrass is 1285497479. It was assigned to this individual provider in the NPPES registry on February 1, 2024. The provider is also known as Luke Pendergrass.

Where is Lucas Pendergrass located?

Lucas Pendergrass practices at 1040 N Pleasant Ave, Fresno, CA 93728. The listed phone number is (559) 899-0888.

What is Lucas Pendergrass's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Lucas Pendergrass was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.