Individual provider Active NPI

Lu Pu, MD

  • Internal Medicine Physician
  • S El Monte, CA
National Provider Identifier
1053977405
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A183873 Issued in CA
Practice address
10414 Vacco St
S El Monte, CA 91733-3350
Phone
(626) 636-8700
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A183873 CA Primary

Addresses

Primary practice location

10414 Vacco St
S El Monte, CA 91733-3350

Mailing address

9620 Flair Dr
El Monte, CA 91731-3005

Other identifiers 1

IdentifierTypeStateIssuer
A183873MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251230002622 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 4385130277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buddhist Tzu CHI Medical FoundationGroup PAC ID 0941551261, 4 clinicians

Practice addresses (Care Compare)

10414 Vacco St
S El Monte, CA 91733-3350
Phone (626) 281-3383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A183873CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buddhist Tzu CHI Medical Foundation CurrentSince Oct 17, 2025 Accepting new patients
Buddhist Tzu CHI Medical Foundation CurrentSince Oct 17, 2025 Accepting new patients

Locations

1000 S Garfield Ave
Alhambra, CA 91801
Phone (626) 281-3383

9620 Flair Dr
El Monte, CA 91731

10414 Vacco St
South El Monte, CA 91733
Phone (626) 281-3383

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1053977405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9620 FLAIR DR",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 VACCO ST",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917333350",
            "telephone_number": "626-636-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PU",
        "first_name": "LU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A183873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A183873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in S El Monte, CA

Sources for this page

Verify at the official NPI Registry.