Active NPI
Lisa Gabriela Luna, CPO
- Prosthetist
- Fountain Valley, CA
National Provider Identifier
1073744504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO02051
- Practice address
- 16520 Harbor Blvd
Suite G
Fountain Valley, CA 92708-1360 - Phone
- (714) 210-1298
- Fax
- (714) 210-1336
- NPI assigned
- Jul 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CPO02051 | CA | |
| Prosthetist | 224P00000X | CPO02051 | CA | Primary |
Addresses
Primary practice location
16520 Harbor Blvd
Suite G
Fountain Valley, CA 92708-1360
Mailing address
16520 Harbor Blvd
Suite G
Fountain Valley, CA 92708-1360
Phone (714) 210-1298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200115 | Other | CA | CMS 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO02051 | CA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1073744504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16520 HARBOR BLVD",
"address_2": "SUITE G",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081360",
"telephone_number": "714-210-1298",
"fax_number": "714-210-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16520 HARBOR BLVD",
"address_2": "SUITE G",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081360",
"telephone_number": "714-210-1298",
"fax_number": "714-210-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "LISA",
"middle_name": "GABRIELA",
"name_prefix": "Prof.",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-31",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CPO02051",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CPO02051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS NUMBER",
"identifier": "200115",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.