Individual provider Active NPI

Daniel Mark Lu, MD

  • Pediatrics Physician
  • Oxnard, CA
National Provider Identifier
1275723264
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G52794 Issued in CA
Practice address
911 W 7TH St
Oxnard, CA 93030-6755
Phone
(805) 487-9492
NPI assigned
Jul 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G52794 CA Primary

Addresses

Primary practice location

911 W 7TH St
Oxnard, CA 93030-6755

Mailing address

911 W 7TH St
Oxnard, CA 93030-6755
Phone (805) 487-9492

Other practice location 1

2000 Outlet Center Dr Ste 110
Oxnard, CA 93036-0608
Phone (805) 604-4588

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.lu@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000519 CA Practitioner - Pediatric Medicine 4183761364 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Sep 1, 2009 Accepting new patients
Gurjit Marwah MD Inc. Pediatrics Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients

Locations

2000 Outlet Center Dr
Ste 110
Oxnard, CA 93036
Phone (805) 604-4588

1334 E Main St
Santa Paula, CA 93060
Phone (805) 933-0522

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

Interoperability endpoints

  • Direct secure messaging: daniel.lu@ventura.cernerdirect.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1275723264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306755",
            "telephone_number": "805-487-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306755",
            "telephone_number": "805-487-9492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Outlet Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930360608",
            "country_code": "US",
            "telephone_number": "805-604-4588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G52794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.lu@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "2000 Outlet Center Dr Ste 110",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930360608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.