Individual provider Active NPI

Tracy Lam-Luu, DC

  • Chiropractor
  • Upland, CA
National Provider Identifier
1003329137
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34065 Issued in CA
Practice address
481 N Central Ave Ste B
Upland, CA 91786-7283
Phone
(323) 905-0899
NPI assigned
Nov 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34065 CA Primary

Addresses

Primary practice location

481 N Central Ave Ste B
Upland, CA 91786-7283

Mailing address

481 N Central Ave Ste B
Upland, CA 91786-7283
Phone (323) 905-0899

Other names 1

  • Tracy Lam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190314001193 CA Practitioner - Chiropractic 3870833627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34065CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coreshift Chiropractic and Wellness Lam-Luu Inc Chiropractor Current Accepting new patients
Cornerstone Acupuncture Institute, Inc. Chiropractor Past Accepting new patients

Locations

481 N Central Ave
Ste B
Upland, CA 91786
Phone (909) 276-4035

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tracy.lamdc.p1@direct.jwch.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1003329137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N CENTRAL AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867283",
            "telephone_number": "323-905-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N CENTRAL AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867283",
            "telephone_number": "323-905-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM-LUU",
        "first_name": "TRACY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "LAM",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.