Individual provider Active NPI

Felipe Eduardo Luzuriaga

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1194446161
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3570 Camino del Rio N Ste 105
San Diego, CA 92108-1747
Phone
(619) 507-9333
Fax
(619) 467-4595
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3570 Camino del Rio N Ste 105
San Diego, CA 92108-1747

Mailing address

3570 Camino del Rio N Ste 105
San Diego, CA 92108-1747
Phone (619) 507-9333

Other practice location 1

1333 S Mayflower Ave Ste 220
Monrovia, CA 91016-5239
Phone (818) 241-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1194446161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 CAMINO DEL RIO N STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081747",
            "telephone_number": "619-507-9333",
            "fax_number": "619-467-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 CAMINO DEL RIO N STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081747",
            "telephone_number": "619-507-9333",
            "fax_number": "619-467-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 S Mayflower Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910165239",
            "country_code": "US",
            "telephone_number": "818-241-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUZURIAGA",
        "first_name": "FELIPE",
        "middle_name": "EDUARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.