Individual provider Active NPI

David Yean-Chuan Lu, M.D.

  • Anatomic Pathology Physician
  • Los Angeles, CA
National Provider Identifier
1144405515
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
A107946 Issued in CA
Practice address
10833 Le Conte Ave
B-186 CHS
Los Angeles, CA 90095-3075
Phone
(310) 794-7953
NPI assigned
Jan 4, 2008
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X A107946 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
B-186 CHS
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 794-7953

Other identifiers 1

IdentifierTypeStateIssuer
0A1079460MedicaidCA

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
I20110831000232 CA Practitioner - Pathology 7719157726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Pathology and Laboratory Medicine GroupGroup PAC ID 5597679233, 68 clinicians

Practice addresses (Care Compare)

1000 Veteran Ave
Los Angeles, CA 90024-2704

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone (310) 267-2625

5900 W Olympia Blvd
Los Angeles, CA 90036-4671
Phone (310) 267-2680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107946CAMDGeneral Practice Dentistry
A107946CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Pathology and Laboratory Medicine Group Anatomic Pathology CurrentSince Apr 1, 2012 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

10833 Le Conte Ave
#B186
Los Angeles, CA 90095
Phone (310) 794-1355

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

File 55632
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: dlu43283@direct.uclahealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1144405515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-794-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "B-186 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-794-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "DAVID",
        "middle_name": "YEAN-CHUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A107946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1079460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.