Kevin San Luis, DNP - Nurse Practitioner in Montclair, CA

Kevin San Luis, DNP is a Nurse Practitioner - Psychiatric/mental Health based in Montclair, California. Kevin San Luis is licensed to practice in California (license number 2024026806) and his current practice location is 9043 Sycamore Ave Unit 206, Montclair, California. He can be reached at his office (for appointments etc.) via phone at (909) 788-6224.

NPI number for Kevin San Luis is 1639912488 and his current mailing address is 9043 Sycamore Ave Unit 206, Montclair, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639912488.

Contact Information

Kevin San Luis, DNP
9043 Sycamore Ave Unit 206,
Montclair, CA 91763-1563
(909) 788-6224
Not Available

Map and Direction




Provider's Profile

Full NameKevin San Luis
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location9043 Sycamore Ave Unit 206, Montclair, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639912488
  • Provider Enumeration Date: 06/18/2024
  • Last Update Date: 07/07/2024

Medical Identifiers

Medical identifiers for Kevin San Luis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639912488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2024026806 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin San Luis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin San Luis, DNP
9043 Sycamore Ave Unit 206,
Montclair, CA 91763-1563

Ph: (909) 788-6224
Kevin San Luis, DNP
9043 Sycamore Ave Unit 206,
Montclair, CA 91763-1563

Ph: (909) 788-6224

Reviews and Comments


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