Individual provider Active NPI

Kathy Lu, NP

  • Nurse Practitioner
  • Arcadia, CA
National Provider Identifier
1366280471
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030442 Issued in CA
Practice address
488 E Santa Clara St
Ste 203
Arcadia, CA 91006-7232
Phone
(626) 359-3330
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030442 CA Primary

Addresses

Primary practice location

488 E Santa Clara St
Ste 203
Arcadia, CA 91006-7232

Mailing address

488 E Santa Clara St Ste 203
Arcadia, CA 91006-7232
Phone (626) 359-3330

Other practice location 1

1477 S Manchester Ave
Anaheim, CA 92802-2905
Phone (714) 782-1700

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
I20241013000200 CA Practitioner - Nurse Practitioner 7618409814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

488 E Santa Clara St
Suite 103
Arcadia, CA 91006-7231
Phone (626) 359-3330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030442CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC CurrentSince Sep 6, 2024 Accepting new patients
Skyline Urology Current Accepting new patients
Urology Institute of the South Bay Current Accepting new patients

Locations

488 E Santa Clara St
Ste 103
Arcadia, CA 91006
Phone (626) 359-3330

488 E Santa Clara St
Ste 203
Arcadia, CA 91006
Phone (626) 359-3330

552 W Foothill Blvd
Ste 200
Glendora, CA 91741
Phone (626) 359-3330

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Organizations & group practices 3

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1366280471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST STE 203",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067232",
            "telephone_number": "626-359-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "STE 203",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067232",
            "telephone_number": "626-359-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1477 S Manchester Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928022905",
            "country_code": "US",
            "telephone_number": "714-782-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "KATHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.