Individual provider Active NPI

Cerjay Lugtu

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Mirada, CA
National Provider Identifier
1356255863
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
113772 Issued in CA
Practice address
16369 Brookstone Cir
La Mirada, CA 90638-6531
Phone
(562) 458-9757
NPI assigned
Oct 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 113772 CA Primary

Addresses

Primary practice location

16369 Brookstone Cir
La Mirada, CA 90638-6531

Mailing address

16369 Brookstone Cir
La Mirada, CA 90638-6531
Phone (562) 458-9757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1356255863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16369 BROOKSTONE CIR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386531",
            "telephone_number": "562-458-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16369 BROOKSTONE CIR",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906386531",
            "telephone_number": "562-458-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGTU",
        "first_name": "CERJAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "113772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.