Active NPI
Xiaoying Lu, M.D.
- Epilepsy Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Epilepsy Physician
- License
- A129062
- Practice address
- 11201 Benton St
Loma Linda, CA 92357-3201 - Phone
- (909) 825-7084
- NPI assigned
- Apr 19, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A129062 | CA | |
| Clinical Neurophysiology Physician | 2084N0600X | A129062 | CA | |
| Epilepsy Physician | 2084E0001X | A129062 | CA | Primary |
Addresses
Primary practice location
11201 Benton St
Loma Linda, CA 92357-3201
Mailing address
11201 Benton St
Loma Linda, CA 92357-0001
Other practice location 1
101 The City Dr S Bldg 30
Orange, CA 92868-3201
Phone (714) 456-6203
Other practice location 2
1215 Lee Street McKim Room 2001
Department of Neurology
Charlottesville, VA 22908
Phone (434) 924-5818
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129062 | CA | MD | Clinical Social Worker |
| A129062 | CA | MD | Epilepsy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Claifornia Univ Neursciences | Multi-Specialty | Current | Accepting new patients |
| University of California Irvine | Past | Accepting new patients |
Locations
101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 206
Orange, CA 92868
Phone (714) 456-3420
Organizations & group practices 2
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.
-
- Neurology Physician
- Orange, CA
- NPI 1205884210
Multi-Specialty
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1306136726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 BENTON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923570001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 BENTON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923573201",
"telephone_number": "909-825-7084"
}
],
"practiceLocations": [
{
"address_1": "101 The City Dr S Bldg 30",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-6203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Lee Street McKim Room 2001",
"address_2": "Department of Neurology",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "22908",
"country_code": "US",
"telephone_number": "434-924-5818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LU",
"first_name": "XIAOYING",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A129062",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A129062",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "CA",
"license": "A129062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.