Lynn Jie Xu, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

22354 Issued in CA

Practice address

600 N Garfield Ave
105
Monterey Park, CA 91754-1166

Phone

(626) 307-9269

Fax

(626) 307-0354

NPI assigned

Nov 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1083959191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 105",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "105",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-307-9269",
            "fax_number": "626-307-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "LYNN",
        "middle_name": "JIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "22354",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "22354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanna Xiong, PA
• Anna Jing Ya Xu, NP
• Hui Xu
• John Jun Ming Xu, L. AC.
• Lisa Xu
• Zhehua Xu, M.D.
• Jeanine Yamanaka, MD
• Michelle Yan, PA-C
• Yanco Pharmacy Inc
• Yang Xie Healthcare Incorporation

• Adult Health Nurse Practitioner in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.