Zhiwen Lu MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A56421 Issued in CA

Legal business name

ZHIWEN LU MD INC

Practice address

412 W Carroll Ave
Ste 104
Glendora, CA 91741-4704

Phone

(626) 963-1413

Fax

(626) 852-1294

NPI assigned

Dec 2, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Zhiwen Lu, MDNPI 1578746582

Title

Physician Owner

Phone

(626) 963-1413

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zhi-Wen Lu, M.D.

  • Internal Medicine Physician
  • Glendora, CA
  • NPI 1578746582
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1245214261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE",
            "address_2": "STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414704",
            "telephone_number": "626-963-1413",
            "fax_number": "626-852-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE",
            "address_2": "STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414704",
            "telephone_number": "626-963-1413",
            "fax_number": "626-852-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHIWEN LU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "ZHIWEN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "626-963-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WA56421C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1245214261",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1578746582",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "W21951",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Cory Zapotosky, PA-C
• Zareno Corporation
• Rouben Zargarian
• Veronica A Zendejas
• Natassia Diane Campbell Zhai
• Jose Manuel Zozaya, M.D.

• Internal Medicine Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.