Active NPI
Michael Chunchi Lu, MD
- Obstetrics & Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1316972219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A55629
- Practice address
- 200 Med PLZ
Suite 430
Los Angeles, CA 90095-0001 - Phone
- (310) 794-8282
- NPI assigned
- Jul 11, 2006
- Last updated
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A55629 | CA | Primary |
Addresses
Primary practice location
200 Med PLZ
Suite 430
Los Angeles, CA 90095-0001
Mailing address
5767 West Century Blvd
Ste 200
Los Angeles, CA 90045-5655
Phone (310) 794-7274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A556290 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Obstetrics & Gynecology | Past | Accepting new patients |
| Regents of the University of California | Obstetrics & Gynecology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCLA Gynecologic Oncology Assoc
- Gynecologic Oncology Physician
- Los Angeles, CA
- NPI 1609839067
Obstetrics & Gynecology
-
dba UCLA OB-GYN Clinic
- Obstetrics & Gynecology Physician
- Los Angeles, CA
- NPI 1073582888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1316972219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 WEST CENTURY BLVD",
"address_2": "STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455655",
"telephone_number": "310-794-7274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MED PLZ",
"address_2": "SUITE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-794-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "MICHAEL",
"middle_name": "CHUNCHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A55629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A556290",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.