Organization Active NPI

Jennifer Lu DO Inc

  • Family Medicine Physician
  • Glendora, CA
National Provider Identifier
1144147489
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JENNIFER LU DO INC
Practice address
412 W Carroll Ave Ste 104
Glendora, CA 91741-4704
Phone
(626) 963-1413
NPI assigned
Jun 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Dr. Jennifer Lu, DONPI 1629764634
Title
Family Medicine Physician
Phone
(626) 963-1413

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

412 W Carroll Ave Ste 104
Glendora, CA 91741-4704

Mailing address

412 W Carroll Ave Ste 104
Glendora, CA 91741-4704
Phone (626) 963-1413

National Provider Directory

National Provider Directory

Locations

412 W Carroll Ave
Ste 104
Glendora, CA 91741
Phone (626) 963-1413

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1144147489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414704",
            "telephone_number": "626-963-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414704",
            "telephone_number": "626-963-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LU DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "FAMILY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "626-963-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.