Active NPI
Quang Lu, CRNA
- Certified Registered Nurse Anesthetist
- Chandler, AZ
National Provider Identifier
1083499701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 308880
- Practice address
- 1648 E Beretta PL
Chandler, AZ 85286-1153 - Phone
- (678) 510-3849
- NPI assigned
- Aug 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 308880 | AZ | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 308880 | AZ | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 95418374 | CA |
Addresses
Primary practice location
1648 E Beretta PL
Chandler, AZ 85286-1153
Mailing address
1648 E Beretta PL
Chandler, AZ 85286-1153
Phone (678) 510-3849
Other practice location 1
1301 S Crismon Rd
Mesa, AZ 85209-3767
Phone (602) 834-1498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Arizona College of Medicine, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Atlanta, GA 30374
PO Box
Suite 740779
Atlanta, GA 30374-0779
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270396 | GA | MD | Critical Care Medicine Registered Nurse |
| 94693 | HI | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1083499701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 E BERETTA PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852861153",
"telephone_number": "678-510-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1648 E BERETTA PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852861153",
"telephone_number": "678-510-3849"
}
],
"practiceLocations": [
{
"address_1": "1301 S Crismon Rd",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852093767",
"country_code": "US",
"telephone_number": "602-834-1498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "QUANG",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-30",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "308880",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "AZ",
"license": "308880",
"primary": false
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "CA",
"license": "95418374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.