Individual provider Active NPI

Neil Nghia Thanh Luu

  • Specialist
  • Fullerton, CA
National Provider Identifier
1104406982
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A184011 Issued in CA
Practice address
2240 N Harbor Blvd Ste 200
Fullerton, CA 92835-2635
Phone
(714) 447-4100
Fax
(714) 447-1922
NPI assigned
Apr 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A184011 CA Primary

Addresses

Primary practice location

2240 N Harbor Blvd Ste 200
Fullerton, CA 92835-2635

Mailing address

2240 N Harbor Blvd Ste 200
Fullerton, CA 92835-2635
Phone (714) 447-4100

Other names 1

  • Neil N Luu Other name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909003659 CA Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 4183020563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1104406982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N HARBOR BLVD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352635",
            "telephone_number": "714-447-4100",
            "fax_number": "714-447-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N HARBOR BLVD STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352635",
            "telephone_number": "714-447-4100",
            "fax_number": "714-447-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "NEIL NGHIA THANH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A184011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEIL",
            "last_name": "LUU",
            "middle_name": "N",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.