Individual provider Active NPI

Lu Meng

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1356034987
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024365 Issued in CA
Practice address
1333 Meridian Ave
San Jose, CA 95125-5212
Phone
(408) 445-3400
Fax
(408) 445-1683
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95024365 CA
Nurse Practitioner 363L00000X 95024365 CA Primary

Addresses

Primary practice location

1333 Meridian Ave
San Jose, CA 95125-5212

Mailing address

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 445-3400

Other practice location 1

38781 Tyson Ln
Fremont, CA 94536-4023
Phone (510) 590-0727

Other practice location 2

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431

Other practice location 3

455 OConnor Dr Ste 200
San Jose, CA 95128-1632
Phone (408) 283-7676

Other practice location 4

2039 Forest Ave
San Jose, CA 95128-4817
Phone (408) 947-2929

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231006001064 CA Practitioner - Nurse Practitioner 9830544170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Medical ServicesGroup PAC ID 4284520529, 143 clinicians

Practice addresses (Care Compare)

1333 Meridian Ave
San Jose, CA 95125-5212
Phone 40844534003730

1870 Lundy Ave
San Jose, CA 95131-1826
Phone (408) 573-9686

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024365CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Jan 12, 2026 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Nov 1, 2023 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
North East Medical Services CurrentSince Jan 12, 2026 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Nov 1, 2023 Accepting new patients
North East Medical Services Past Accepting new patients

Locations

211 Eastmoor Ave
Daly City, CA 94015
Phone (650) 550-3923

82 Leland Ave
San Francisco, CA 94134
Phone (415) 391-9688

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

939 Story Rd
Ste 103
San Jose, CA 95122
Phone (408) 573-9686

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

1870 Lundy Ave
San Jose, CA 95131
Phone (408) 573-9686

1333 Meridian Ave
San Jose, CA 95125

Organizations & group practices 6

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 1

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1356034987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255212",
            "telephone_number": "408-445-3400",
            "fax_number": "408-445-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MERIDIAN AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255212",
            "telephone_number": "408-445-3400",
            "fax_number": "408-445-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38781 Tyson Ln",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945364023",
            "country_code": "US",
            "telephone_number": "510-590-0727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-445-3431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281632",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284817",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENG",
        "first_name": "LU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95024365",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.