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DR. DOMINIQUE LANELLE LUCKEY M.D.
NPI 1326033804
Obstetrics & Gynecology - Gynecology in Los Angeles, CA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
1701 E CESAR CHAVEZ AVE, SUITE #402, LOS ANGELES, CA 90033(323) 317-9200(323) 317-9206 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dominique Lanelle Luckey M.d. NPPES

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

DR. DOMINIQUE LANELLE LUCKEY M.D. (NPI 1326033804) is an individual gynecology provider in Los Angeles, California, licensed in California (A69874) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1998).

NPPES Registry Identity

NPI1326033804
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. DOMINIQUE LANELLE LUCKEYCredential: M.D.
Location Address1701 E CESAR CHAVEZ AVE, SUITE #402Los Angeles, CA 90033-2464
Mailing Address5823 York Blvd, #1Los Angeles, CA 90042-2634 · (323) 255-3437
Phone(323) 317-9200
Fax(323) 317-9206
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1998
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 18, 2007
✔ NPI 1326033804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · A69874
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License A69874 (CA)
1701 E CESAR CHAVEZ AVE, Los Angeles, CA 90033
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Other Identifiers 5

Medicaid00A698740CA
Medicare UPINH81387CA
Other00A698740CA · Blue Shield
OtherP00384423GA · Medicare Railroad
Medicare PINWA69874BCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominique Lanelle Luckey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193783298
PECOS Enrollment IDI20041221000441
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

DR. SERGIO BANUELOS VILLEGAS M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 402
LOS ANGELES, CA 90033
Los Angeles County (323) 317-9200
EDITH ARELLANO
Marriage & Family Therapist
1701 E CESAR CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (213) 264-1106
ROBERT P KROCHMAL M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 402
LOS ANGELES, CA 90033
Los Angeles County (323) 317-9200
MS. MAYRA LORENA AROCHE PA-C
Physician Assistant (Medical)
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
MAUREEN MAVRINAC M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
IRMA WARNECKE M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
EDWARD CASTRO M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 230
LOS ANGELES, CA 90033
Los Angeles County (323) 226-1100
MAURICIO BUENO M.D.
Family Medicine
1701 E CESAR CHAVEZ AVE, SUITE 402
LOS ANGELES, CA 90033
Los Angeles County (323) 317-9200

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 Dominique Luckey's NPI number?

The NPI number for Dominique Luckey is 1326033804. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Dominique Luckey located?

Dominique Luckey practices at 1701 E Cesar Chavez Ave Suite #402, Los Angeles, CA 90033. The listed phone number is (323) 317-9200.

What is Dominique Luckey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Dominique Luckey enrolled in Medicare?

Yes. Dominique Luckey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dominique Luckey was last updated on October 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.