Individual provider Active NPI

Pamela Chiu-Wan Luk, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1285966903
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
2013005683 Issued in MO
Practice address
3617 Avalon Blvd Ste 200
Los Angeles, CA 90011-5601
Phone
(213) 935-8566
Fax
(213) 936-8576
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 2013005683 MO Primary

Addresses

Primary practice location

3617 Avalon Blvd Ste 200
Los Angeles, CA 90011-5601

Mailing address

560 W Main St Ste C194
Alhambra, CA 91801-3374
Phone (626) 863-3741

Other practice location 1

289 W Huntington Dr Ste 103
Arcadia, CA 91007-3492
Phone (626) 821-0707

Other identifiers 2

IdentifierTypeStateIssuer
CB225343OtherCAMEDICARE PTAN
A110317OtherCAMEDICAL LICENSE

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
I20120919000840 CA Practitioner - Orthopedic Surgery 8527216381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Northwestern University Feinberg Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jah Hand SurgeryGroup PAC ID 0648597815, 4 clinicians

Practice addresses (Care Compare)

3617 Avalon Blvd
Los Angeles, CA 90011-5601
Phone (213) 935-8566

Hospital & facility affiliations

  • Prestigious Home Health, Inc Home health agency, Covina, CA, CCN 059193
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Lac/Rancho Los Amigos National Rehabilitation Ctr Hospital, Downey, CA, CCN 050717

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue228
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jah Hand Surgery CurrentSince Apr 16, 2021 Accepting new patients
Jah Hand Surgery Foot and Ankle Surgery CurrentSince Apr 16, 2021 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients

Locations

3617 Avalon Blvd
Ste 200
Los Angeles, CA 90011
Phone (213) 935-8566

3617 Avalon Blvd
Los Angeles, CA 90011
Phone (213) 935-8566

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pamela.luk.1@10695.direct.athenahealth.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1285966903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MAIN ST STE C194",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013374",
            "telephone_number": "626-863-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 AVALON BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115601",
            "telephone_number": "213-935-8566",
            "fax_number": "213-936-8576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 W Huntington Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910073492",
            "country_code": "US",
            "telephone_number": "626-821-0707",
            "fax_number": "626-509-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUK",
        "first_name": "PAMELA",
        "middle_name": "CHIU-WAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MO",
            "license": "2013005683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB225343",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A110317",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.