Yixi Kevin Lu, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5723 Issued in CA

Practice address

795 E 2ND St FL 2
Ste. 7
Pomona, CA 91766-2007

Phone

(909) 706-3877

Fax

(909) 706-3942

NPI assigned

Dec 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kevin J Pelton MD IncGroup PAC ID 3375625486, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kevin J. Pelton MD, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1679771703

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Western University of Health Sciences

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1679515217

  Multi-Specialty

  Medicare reassignment NPD
• Kevin J Pelton MD Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
  • NPI 1710764576
  NPD
• Western University of Health Sciences

  • Pharmacy
  • Pomona, CA
  • NPI 1295051779
  NPD
• Western University of Health Sciences

  • Podiatrist
  • Pomona, CA
  • NPI 1689996100

  Multi-Specialty

  NPD
• Kevin J. Pelton MD, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe Springs, CA
  • NPI 1821711870

  Foot & Ankle Surgery

  NPD (past)
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470

  Multi-Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Care Compare affiliation

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

{
    "created_epoch": "1449273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1356716138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E. SECOND STREET",
            "address_2": "STE. 7",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661700",
            "telephone_number": "909-706-3877",
            "fax_number": "909-706-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E 2ND ST FL 2",
            "address_2": "STE. 7",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662007",
            "telephone_number": "909-706-3877",
            "fax_number": "909-706-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "YIXI",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-05",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001288",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joana Chan Lu, PA-C
• Madeleine Lu
• Matthew Lu
• Sabrina Lu
• Sophia Lu
• Jennifer Lua
• Joseph Luba
• Lubna Isho DO Inc
• Faith Louisse Lucasan
• Marbella Cristal Lucatero

• Foot & Ankle Surgery Podiatrist in Pomona, CA
• Providers in Pomona, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.