Salina Vong Lum

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95009383 Issued in CA

Practice address

17782 Cowan Ste a
Irvine, CA 92614-6041

Phone

(949) 722-7118

NPI assigned

Aug 17, 2018

Last updated

Sep 21, 2022By the provider in NPPES

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

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

Progeny TMS CorporationGroup PAC ID 9133585045, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progeny TMS Corporation

  • Mental Health Counselor
  • Irvine, CA
  • NPI 1558062265
  Medicare reassignment Care Compare group NPD
• Progeny Psychiatric Clinic a Medical Corporation

  • Psychiatry Physician
  • Irvine, CA
  • NPI 1548735202
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1245710391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17782 COWAN STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146041",
            "telephone_number": "949-722-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 COWAN STE A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146041",
            "telephone_number": "949-722-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18700 Main St",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926481706",
            "country_code": "US",
            "telephone_number": "714-274-9712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "SALINA",
        "middle_name": "VONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009383",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lui & Mai Optometry Partnership
• Kaiwa Hawkin Lui, O.D.
• Lizeth Luis Barrientos
• Zirna B. Luistro, DPT
• Francesca Pierina Lukas
• Lumen Family and Counseling Inc
• Lumicera Health Services LLC
• Lumicera Health Services LLC
• Lumicera Health Services, LLC
• Lumina Integrated Behavior Inc

• Psychiatric/Mental Health Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.