Individual provider Active NPI

Elaine Lanfan Lu, DDS

  • Dentist
  • Arcadia, CA
National Provider Identifier
1295920148
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
56199 Issued in CA
Practice address
325 California St
Unit B
Arcadia, CA 91006-3717
Phone
(626) 297-3246
Fax
(626) 446-5356
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 56199 CA Primary
General Practice Dentistry 1223G0001X 56199 CA

Addresses

Primary practice location

325 California St
Unit B
Arcadia, CA 91006-3717

Mailing address

325 California St
Unit B
Arcadia, CA 91006-3717
Phone (626) 297-3246

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181006000257 CA Order and Referring Only - DentistPractitioner - Dentist 9830441682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elaine Lanfan Lu DDS Dental Corp Dentist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1295920148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CALIFORNIA ST",
            "address_2": "UNIT B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063717",
            "telephone_number": "626-297-3246",
            "fax_number": "626-446-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CALIFORNIA ST",
            "address_2": "UNIT B",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063717",
            "telephone_number": "626-297-3246",
            "fax_number": "626-446-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "ELAINE",
        "middle_name": "LANFAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "56199",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.