Individual provider Active NPI

Co Luu, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1104341874
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293323 Issued in CA
Practice address
1035 S Vermont Ave
Los Angeles, CA 90006-2710
Phone
(213) 387-0102
NPI assigned
Aug 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293323 CA Primary

Addresses

Primary practice location

1035 S Vermont Ave
Los Angeles, CA 90006-2710

Mailing address

4308 Jerry Ave
Baldwin Park, CA 91706-3024
Phone (323) 580-8086

Other practice location 1

3600 Broadway
Oakland, CA 94611-5730
Phone (510) 752-1000

Other practice location 2

901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016003634 CA Practitioner - Physical Therapist in Private Practice 1557637709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1035 S Vermont
Los Angeles, CA 90006-2710
Phone (213) 387-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 2, 2022 Accepting new patients
Lee Orthopedic Institute, a Professional Medical Corporation CurrentSince Sep 1, 2017 Accepting new patients
Feld Care Therapy Inc Physical Therapist CurrentSince Dec 4, 2018 Accepting new patients
Lee Orthopedic Institute PastSince Sep 1, 2017 Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Locations

1035 S Vermont Ave
Los Angeles, CA 90006
Phone (213) 387-0102

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

1037 E Palmdale Blvd
Ste 201
Palmdale, CA 93550
Phone (661) 417-4268

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

Organizations & group practices 5

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": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104341874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 JERRY AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063024",
            "telephone_number": "323-580-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062710",
            "telephone_number": "213-387-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Broadway",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946115730",
            "country_code": "US",
            "telephone_number": "510-752-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Nevin Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948013143",
            "country_code": "US",
            "telephone_number": "510-307-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "CO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.