Active NPI
Cerjay Lugtu
- Orthodontics and Dentofacial Orthopedics Dentistry
- La Mirada, CA
National Provider Identifier
1356255863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 113772
- Practice address
- 16369 Brookstone Cir
La Mirada, CA 90638-6531 - Phone
- (562) 458-9757
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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.