Genevieve Thuyvi Nguyen Luu, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

109488 Issued in CA

Practice address

164 W Hospitality LN Ste 127
San Bernardino, CA 92408-3351

Phone

(909) 895-9699

NPI assigned

May 12, 2023

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Feldkamp Cal Select Dental Group, Inc.

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1669036117
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1154011070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13147 DERBY AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W HOSPITALITY LN STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083351",
            "telephone_number": "909-895-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "GENEVIEVE",
        "middle_name": "THUYVI NGUYEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109488",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Luong
• Jennifer Lupercio
• Alenda Luptrawan, DDS
• Astrid Karolina Luque
• Lutheran Social Services of Southern California
• Roseanne Luvisi, CADC1
• Luxottica of America Inc. (Lenscrafters #0209)
• Lisa Srey Ly
• Lindsey Dawn Lynch
• Lyngladen Silagan-Fernandez DDS Inc (Kingsly Dentistry)

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.