Roy Lackey, PA-C
NPI 1962169011 · Physician Assistant · San Diego, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roy Lackey, PA-C is a Physician Assistant provider in San Diego, CA (NPI 1962169011).
Provider details
- NPI number
- 1962169011
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-23
- Last updated
- 2023-02-22
- Certified
- 2023-02-22
Frequently asked questions
- What is Roy Lackey's NPI number?
- Roy Lackey's National Provider Identifier (NPI) is 1962169011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roy Lackey's specialty?
- Roy Lackey is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Roy Lackey located?
- Roy Lackey's practice location on file with NPPES is 34800 Bob Wilson Dr, San Diego, CA 92134-1098.
- What is Roy Lackey's phone number?
- The practice phone number listed in the NPPES registry for Roy Lackey is (619) 532-6400.
- Does Roy Lackey accept Medicare?
- Roy Lackey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roy Lackey's NPI active?
- Yes — Roy Lackey's NPI (1962169011) is active in the NPPES registry as of the last update on 2023-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.