Individual provider Active NPI

James Richard Luu, D.O.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1104915198
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7353 Issued in CA
Practice address
2323 Montpelier Dr
C
San Jose, CA 95116-1611
Phone
(408) 963-7351
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A7353 CA
Family Medicine Physician 207Q00000X 20A7353 CA Primary

Addresses

Primary practice location

2323 Montpelier Dr
C
San Jose, CA 95116-1611

Mailing address

2323 Montpelier Dr Ste C
San Jose, CA 95116-1611
Phone (408) 963-7351

Other names 1

  • Thinh James Luu Former 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
I20070516000247 CA Practitioner - Family Practice 3274630892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
John Giddens Jr M.D. Inc CurrentSince Jan 15, 2014 Accepting new patients
St. Thomas Medical Clinic Past Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients

Locations

3161 Walnut Ave
Fremont, CA 94538
Phone (510) 796-1000

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1104915198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MONTPELIER DR STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161611",
            "telephone_number": "408-963-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MONTPELIER DR",
            "address_2": "C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161611",
            "telephone_number": "408-963-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A7353",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THINH",
            "last_name": "LUU",
            "middle_name": "JAMES",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.