Anthony Le Luong, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107576 Issued in CA

Practice address

140 Hidden Valley Pkwy Ste K
Norco, CA 92860-4002

Phone

(951) 898-8693

NPI assigned

Jul 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656720000000",
    "number": "1235862723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8061 DARIEN CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958285533",
            "telephone_number": "408-966-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HIDDEN VALLEY PKWY STE K",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928604002",
            "telephone_number": "951-898-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "ANTHONY",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-07-02",
        "certification_date": "2022-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Lozano, D.C.
• Maria Elena Lozoya, MA CCC-SLP
• JC Lynne Nicolas Lu Sing
• Tatyana Mychelle Luna
• Rebecca J Lundeen, ED.D.
• Alan Luu
• Luxottica of America Inc. (Target Optical #6724)
• Chris Lyuh
• Ana Magana
• Brenda Magana

• General Practice Dentistry in Norco, CA
• Providers in Norco, 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 Jul 2, 2022; 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.