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ELVIN LUCCON FNP
NPI 1699425785
Nurse Practitioner in Los Angeles, CA

Active since March 24, 2022PECOS Enrolled
910 VINE ST, LOS ANGELES, CA 90038(323) 461-3106 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elvin Luccon Fnp NPPES

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

ELVIN LUCCON FNP (NPI 1699425785) is an individual nurse practitioner in Los Angeles, California, licensed in California (95016465) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699425785
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameELVIN LUCCONCredential: FNP
Location Address910 VINE STLos Angeles, CA 90038-2702
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(323) 461-3106
Sole ProprietorYes
Enumeration DateMarch 24, 2022
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
✔ NPI 1699425785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95016465
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
910 VINE ST, Los Angeles, CA 90038
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elvin Luccon Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Elvin Luccon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents
9.6 mi
Family Medicine
1920 COLORADO AVE
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1275591802 (310) 319-4700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90038 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 3

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

ERENDIDA CANO FNP
Nurse Practitioner (Family)
910 VINE ST
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3106
MICHELE VERTUCCI PA-C/NP
Physician Assistant
910 VINE ST
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3106
JESSE LAWTON CLARK M.D.
Family Medicine
910 VINE ST
LOS ANGELES, CA 90038
Los Angeles County (323) 461-3106

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 Elvin Luccon's NPI number?

The NPI number for Elvin Luccon is 1699425785. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Elvin Luccon located?

Elvin Luccon practices at 910 Vine St, Los Angeles, CA 90038. The listed phone number is (323) 461-3106.

What is Elvin Luccon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elvin Luccon enrolled in Medicare?

Yes. Elvin Luccon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elvin Luccon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elvin Luccon reassigns Medicare benefits to Uc Regents (Santa Monica, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elvin Luccon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elvin Luccon was last updated on September 12, 2022. 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.