Luna Medical Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LUNA MEDICAL SERVICES LLC

Practice address

10815 W McDowell Rd
Avondale, AZ 85392-5007

Phone

(209) 956-7732

NPI assigned

Sep 17, 2024

Organization subpart

No

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

Authorized official

Name

Angelo Liciaga

Title

Consultant

Phone

(480) 200-0726

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deepa P Verma, MD

  • Hospitalist Physician
  • Glendale, AZ
  • NPI 1750365094
  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1053148643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925007",
            "telephone_number": "209-956-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "LICIAGA",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "480-200-0726"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lucero
• Lucky Unknown LLC
• Sonia Luevano, COTA/L
• Yulyana Lugo
• Hilary A Luinstra, DDS
• Marisela Luna
• Ashley Lundgren
• Tamara Lurry
• Haley Shyanne Lurten
• Michelle Marie Lusk, SLPA

• Anesthesiology Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.