Individual provider Active NPI

Phoebe Zhaojun Luo

  • Acute Care Nurse Practitioner
  • San Gabriel, CA
National Provider Identifier
1285525857
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95036003 Issued in CA
Practice address
506 W Valley Blvd Ste 100
San Gabriel, CA 91776-5716
Phone
(626) 308-3800
NPI assigned
Jul 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95036003 CA Primary

Addresses

Primary practice location

506 W Valley Blvd Ste 100
San Gabriel, CA 91776-5716

Mailing address

17029 E Holton St
West Covina, CA 91791-3840
Phone (626) 586-4950

Other names 1

  • Zhaojun Luo Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000460 CA Practitioner - Nurse Practitioner 9234635756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Heart Centers a Medical CorporationGroup PAC ID 7012944473, 16 clinicians

Practice addresses (Care Compare)

506 W Valley Blvd
San Gabriel, CA 91776-5716
Phone (626) 308-3800

Hospital & facility affiliations

  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
  • Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281
  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95036003CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Heart Centers a Medical Corporation CurrentSince Aug 1, 2025 Accepting new patients

Locations

506 W Valley Blvd
San Gabriel, CA 91776
Phone (626) 308-3800

506 W Valley Blvd
Ste 100
San Gabriel, CA 91776
Phone (626) 308-3800

Interoperability endpoints

  • Direct secure messaging: phoebe.luo@697388111167492.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1285525857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17029 E HOLTON ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913840",
            "telephone_number": "626-586-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W VALLEY BLVD STE 100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917765716",
            "telephone_number": "626-308-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "PHOEBE",
        "middle_name": "ZHAOJUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95036003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHAOJUN",
            "last_name": "LUO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.