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Andrew Edward Luckey III, M.D., Inc.

NPI 1598062655ActiveOrganization· Surgery· Simi Valley, CA

Surgery in Simi Valley, California, registered in NPPES in February 2011. The authorized official on file is Andrew Edward Luckey, M.D., Owner.

Overview

NPI1598062655
StatusActive
Entity typeOrganization
NPI issuedFeb 24, 2011
Last updated in NPPESFeb 24, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000XA69654CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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