SONIA GORDON LUCKEY DNP APRN NPI 1093242851

NPI Information

  • NPI: 1093242851
  • Provider Name: SONIA GORDON LUCKEY, DNP, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 638 CAMINO DE LOS MARES
    SAN CLEMENTE, CA
    ZIP 92673
  • Phone: (949) 494-8426

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NPI Details

Sonia Gordon Luckey, DNP, APRN is a psychiatric/mental health nurse practitioner in San Clemente, CA. Sonia Gordon Luckey, DNP, APRN NPI is 1093242851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

638 CAMINO DE LOS MARES
SAN CLEMENTE, CA
ZIP 92673
Phone: (949) 494-8426

The NPI 1093242851 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN449787CALIFORNIANo
2363LF0000XNurse PractitionerFamilyAP60944156WASHINGTONNo
3363LF0000XNurse PractitionerFamily202000873OREGONNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthRN449787CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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