MR. LUKE CODY ROY FNP-BC NPI 1235696964

NPI Information

  • NPI: 1235696964
  • Provider Name: MR. LUKE CODY ROY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5555 GROSSMONT CENTER DR
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 740-3058

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NPI Details

MR. Luke Cody Roy, FNP-BC is a family nurse practitioner in La Mesa, CA. MR. Luke Cody Roy, FNP-BC NPI is 1235696964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5555 GROSSMONT CENTER DR
LA MESA, CA
ZIP 91942-019
Phone: (619) 740-3058
Fax: (619) 740-3967

The NPI 1235696964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2019 and was last updated on 3/4/2024.

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
1163W00000XRegistered Nurse786655CALIFORNIANo
2163WE0003XRegistered NurseEmergencyB01084732CALIFORNIANo
3363LF0000XNurse PractitionerFamilyNP95011115CALIFORNIAYes

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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