Active NPI
Elaine Lanfan Lu, DDS
- Dentist
- Arcadia, CA
National Provider Identifier
1295920148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 56199
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181006000257 | CA | Order and Referring Only - Dentist | 9830441682 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Monrovia, CA
- NPI 1235453200
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.