Individual provider Active NPI

Andy Z Luan, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1235903295
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109398 Issued in CA
Practice address
4200 California St Ste 210
San Francisco, CA 94118-1367
Phone
(415) 668-0526
NPI assigned
Nov 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 109398 CA Primary

Addresses

Primary practice location

4200 California St Ste 210
San Francisco, CA 94118-1367

Mailing address

3201 Clarita CT
Thousand Oaks, CA 91362-4950
Phone (805) 304-8230

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

State licenses

LicenseStateTypeSpecialty
109398CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1235903295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CLARITA CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913624950",
            "telephone_number": "805-304-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CALIFORNIA ST STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181367",
            "telephone_number": "415-668-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUAN",
        "first_name": "ANDY",
        "middle_name": "Z",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.