Organization Active NPI

Nurture Health Group Inc

  • Internal Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1265248967
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NURTURE HEALTH GROUP INC
Practice address
12826 Victory Blvd Ste E
North Hollywood, CA 91606-3065
Phone
(818) 583-0051
NPI assigned
Dec 6, 2024
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Eric Xiaofeng Lu, MDNPI 1003311960
Title
Ceo
Phone
(818) 583-0051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

12826 Victory Blvd Ste E
North Hollywood, CA 91606-3065

Mailing address

12826 Victory Blvd Ste E
North Hollywood, CA 91606-3065
Phone (818) 583-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250214002874 CA Part B Supplier - Clinic/Group Practice 5597295816 Receives reassigned benefits from 2 practitioners
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

12826 Victory Blvd
Ste E
North Hollywood, CA 91606
Phone (310) 207-9345

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1265248967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063065",
            "telephone_number": "818-583-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 VICTORY BLVD STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063065",
            "telephone_number": "818-583-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "XIAOFENG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-583-0051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.