Individual provider Active NPI

Emmanuel Correa Luna, M.D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1316968571
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A49643 Issued in CA
Practice address
1500 S Central Ave
Suite 321
Glendale, CA 91204-2530
Phone
(818) 500-0880
Fax
(818) 500-0221
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A49643 CA Primary

Addresses

Primary practice location

1500 S Central Ave
Suite 321
Glendale, CA 91204-2530

Mailing address

1500 S Central Ave
Suite 321
Glendale, CA 91204-2530
Phone (818) 500-0880

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
I20050420000797 CA Practitioner - Family Practice 8921046004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 S Central Ave
Suite 321
Glendale, CA 91204-2567
Phone (818) 500-0880

Hospital & facility affiliations

  • Miracle Hearts Home Health Care, Inc Home health agency, Burbank, CA, CCN 559259
  • Atrium Hospice, Inc Hospice, Pasadena, CA, CCN B21640
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49643CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emmanuel C Luna, M.D., Faafp, Inc. Family Medicine CurrentSince Oct 1, 2001 Accepting new patients
Emmanuel C. Luna, M.D., Faafp, Inc. Family Medicine CurrentSince Oct 1, 2001 Accepting new patients
Dignity Health Past Accepting new patients

Locations

1500 S Central Ave
Ste 321
Glendale, CA 91204
Phone (818) 500-0880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Golden Angel Hospice IncUpland, CA, CCN 751733 Hospice Contracted Managing Employee (100%) Apr 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1316968571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 321",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-500-0880",
            "fax_number": "818-500-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 321",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-500-0880",
            "fax_number": "818-500-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "EMMANUEL",
        "middle_name": "CORREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.