Dzenan Lulic, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A121406 Issued in CA

Practice address

40700 California Oaks Rd Ste 206
Murrieta, CA 92562-5789

Phone

(951) 412-0011

Fax

(877) 803-3461

NPI assigned

Jun 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, San Diego School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dzenan Lulic MD a Medical CorporationGroup PAC ID 9537409339, 2 clinicians

Will Family Medical Group a Professional CorporationGroup PAC ID 5193095115, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FHIGBD/Endpoint/FHIGBD
• FHIR API: https://fhir4.healow.com/fhir/r4/JIDDDD
• Direct secure messaging: dzenan.lulic.p64@direct.mydohc.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JIDDDD/Endpoint/JIDDDD

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.

• Dzenan Lulic, M.D., a Medical Corporation

  dba Cal Oaks Primary Care/Lucali Aesthetic Medicine

  • General Practice Physician
  • Murrieta, CA
  • NPI 1821561572
  Medicare reassignment Care Compare group Authorized official
• Will Family Medical Group, a Professional Corporation

  • Family Medicine Physician
  • Palm Desert, CA
  • NPI 1356875157
  Medicare reassignment Care Compare group NPD
• Juergen P. Krauthammer, MD, Inc

  • Surgery Physician
  • Fresno, CA
  • NPI 1063642866
  NPD (past)
• Murrieta Primary Care Clinic Joanna Ayala M D

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1396261988
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1356503791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-412-0011",
            "fax_number": "877-803-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD STE 206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-412-0011",
            "fax_number": "877-803-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LULIC",
        "first_name": "DZENAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A121406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guadalupe Lua
• Kim Luc-Nguyen, PHARM.D.
• Aldrich Lucas
• Lucid Speech & Language
• Lucid Speech and Language Clinic, Inc.
• Luminary Living Support
• Liliana Luna
• Mario Eliseo Luna, M.D.
• Tami Luna, CADC II
• Kayla Luopa

• General Practice Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.