Individual provider Active NPI

Joni M Lu, DO

  • Ophthalmology Physician
  • San Gabriel, CA
National Provider Identifier
1104110592
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A20538 Issued in CA
Practice address
207 S Santa Anita St Ste P25
San Gabriel, CA 91776-1145
Phone
(626) 200-1277
Fax
(626) 200-1278
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS50789 FL
Ophthalmology Physician 207W00000X 20A20538 CA Primary

Addresses

Primary practice location

207 S Santa Anita St Ste P25
San Gabriel, CA 91776-1145

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160201001775 FL Practitioner - Ophthalmology 7810214400 Reassigns benefits to 1 organization
I20230323001551 CA Practitioner - Ophthalmology 7810214400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda Vu MD, a Medical CorpGroup PAC ID 5799786984, 3 clinicians

Practice addresses (Care Compare)

511 E Garvey Ave
Suite 201
Monterey Park, CA 91755-1974
Phone (626) 382-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20538CAMDOphthalmology Physician
OS50789FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Linda Vu MD, a Medical Corp Ophthalmology CurrentSince Jun 10, 2025 Accepting new patients
Chriss & Associates, M.D., P.a.. Ophthalmology CurrentSince Feb 1, 2016 Accepting new patients
Linda Vu MD, a Medical Corp CurrentSince Jun 10, 2025 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology Past Accepting new patients

Locations

511 E Garvey Ave
Ste 201
Monterey Park, CA 91755
Phone (626) 382-2020

9143 Valley Blvd
Ste 102
Rosemead, CA 91770
Phone (626) 285-4350

1925 Mizell Ave
Ste 302
Winter Park, FL 32792
Phone (407) 629-4305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: joni.lu.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: jlu@californiaeye.intellechartdirect.net

Organizations & group practices 7

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1104110592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE P25",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761145",
            "telephone_number": "626-200-1277",
            "fax_number": "626-200-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "JONI",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS50789",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A20538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.