Individual provider Active NPI

Jonathan S Lui, OTR/L

  • Occupational Therapist
  • Pomona, CA
National Provider Identifier
1356014328
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
455199 Issued in CA
Practice address
1902 Royalty Dr Ste 220
Pomona, CA 91767-3056
Phone
(909) 622-0006
Fax
(909) 622-0007
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 455199 CA Primary

Addresses

Primary practice location

1902 Royalty Dr Ste 220
Pomona, CA 91767-3056

Mailing address

1845 Business Center Dr Ste 127
San Bernardino, CA 92408-3434
Phone (909) 890-9030

Other practice location 1

100 N Barranca St Ste 380
West Covina, CA 91791-1652
Phone (626) 331-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811002045 CA Practitioner - Occupational Therapist in Private Practice 3678977725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1902 Royalty Dr
Suite 220
Pomona, CA 91767-3056
Phone (909) 622-0006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
455199CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Therapy Network Incorporated Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients
United Therapy Network Incorporated Occupational Therapist Current Accepting new patients
United Therapy Network Incorporated Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients
United Therapy Network Incorporated Occupational Therapist Past Accepting new patients

Locations

1902 Royalty Dr
Ste 220
Pomona, CA 91767
Phone (909) 570-3108

1845 Business Center Dr
Ste 127
Sn Bernrdno, CA 92408
Phone (909) 890-9030

100 N Barranca St
Ste 380
West Covina, CA 91791
Phone (626) 331-8355

Organizations & group practices 4

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": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1356014328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 BUSINESS CENTER DR STE 127",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083434",
            "telephone_number": "909-890-9030",
            "fax_number": "909-890-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR STE 220",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673056",
            "telephone_number": "909-622-0006",
            "fax_number": "909-622-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Barranca St Ste 380",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911652",
            "country_code": "US",
            "telephone_number": "626-331-8355",
            "fax_number": "626-331-8165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUI",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "455199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.