Stephanie Lynn Luzak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20783 Issued in CA

Practice address

9040 Friars Rd
Suite 400
San Diego, CA 92108-5859

Phone

(619) 284-6377

Fax

(619) 241-7581

NPI assigned

Jan 3, 2011

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

Other names 1

• Stephanie Jurden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blake Thompson MD Inc.

  • Physical Medicine & Rehabilitation Physician
  • San Diego, CA
  • NPI 1548805393

  Physician Assistant

  NPD (past)
• Mackay Chiropractic Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1003842030
  NPD (past)

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1205130481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD",
            "address_2": "SUITE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-284-6377",
            "fax_number": "619-528-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD",
            "address_2": "SUITE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085859",
            "telephone_number": "619-284-6377",
            "fax_number": "619-241-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZAK",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "20783",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "JURDEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Thiensam Luyen
• Lizeth Luzanilla
• Felipe Eduardo Luzuriaga
• LV Chiropractic
• LV Chiropractic & Wellness Inc
• LVN Medical

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.