Chun Chieh Kevin Luo, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A159024 Issued in CA

Practice address

825 Oak Grove Ave Ste D202
Menlo Park, CA 94025-4427

Phone

(650) 382-2793

Fax

(914) 259-5467

NPI assigned

Mar 22, 2017

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• UC San Diego Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1750739116
  NPD (past)
• Ucsd

  • Student in an Organized Health Care Education/Training Program
  • La Jolla, CA
  • NPI 1730611864
  NPD (past)

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1265963243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OAK GROVE AVE STE D202",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OAK GROVE AVE STE D202",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254427",
            "telephone_number": "650-382-2793",
            "fax_number": "914-259-5467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041419",
            "country_code": "US",
            "telephone_number": "650-723-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUO",
        "first_name": "CHUN CHIEH",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A159024",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A159024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucile Salter Packard Children's Hospital at Stanford (LPCH Outpatient & Specialty Pharmacy)
• Lucile Salter Packard Children's Hospital at Stanford (a. LPCH Children's Home Pharmacy b. Stanford Home Pharmacy)
• Lucile Salter Packard Children's Hospital at Stanford (LPCH Outpatient & Specialty Pharmacy)
• Andrew David Lund, M.D.
• Patricia E. Lund, PHD.
• Julie Lynn Lustig, PH.D.
• Tammy Luu
• Luxottica of America Inc. (LensCrafters # 178)
• Albert Ly, PHD
• Tiffany Ly, M.D.

• Child & Adolescent Psychiatry Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.