NPIMap

Organization Active NPI

Luon W Peng DO Inc

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1033388517
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20A8244 Issued in CA
Legal business name
LUON W PENG DO INC
Practice address
3731 E 3Rd St
Los Angeles, CA 90063-2401
Phone
(323) 222-4848
Fax
(323) 222-4800
NPI assigned
Feb 28, 2008
Last updated
Feb 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Authorized official

Name
Luon W Peng, DONPI 1407937105
Title
President
Phone
(323) 222-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 20A8244 CA Primary

Addresses

Primary practice location

3731 E 3Rd St
Los Angeles, CA 90063-2401

Mailing address

3731 E 3Rd St
Los Angeles, CA 90063-2401
Phone (323) 222-4848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080414000701 CA Part B Supplier - Clinic/Group Practice 8022195106 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3731 E 3rd St
Los Angeles, CA 90063
Phone (323) 222-4848

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1033388517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 E 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632401",
            "telephone_number": "323-222-4848",
            "fax_number": "323-222-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 E 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632401",
            "telephone_number": "323-222-4848",
            "fax_number": "323-222-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUON W PENG DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "LUON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-222-4848",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A8244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.