Individual provider Active NPI

Lillian G. Lum-Kaku, NP

  • Primary Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1003964743
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
NPF1887 Issued in CA
Practice address
1351 24TH Ave
Ocean Park Health Center
San Francisco, CA 94122-1616
Phone
(415) 682-1975
Fax
(415) 661-9733
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN272026 CA
Primary Care Nurse Practitioner 363LP2300X NPF1887 CA Primary

Addresses

Primary practice location

1351 24TH Ave
Ocean Park Health Center
San Francisco, CA 94122-1616

Mailing address

1351 24TH Ave
Ocean Park Health Center
San Francisco, CA 94122-1616
Phone (415) 682-1975

Other identifiers 1

IdentifierTypeStateIssuer
047407OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN272026CAMDAmbulatory Care Registered Nurse
NPF1887CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco Past Accepting new patients

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003964743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 24TH AVE",
            "address_2": "OCEAN PARK HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221616",
            "telephone_number": "415-682-1975",
            "fax_number": "415-661-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 24TH AVE",
            "address_2": "OCEAN PARK HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941221616",
            "telephone_number": "415-682-1975",
            "fax_number": "415-661-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM-KAKU",
        "first_name": "LILLIAN",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "RN272026",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NPF1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "047407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.