Individual provider Active NPI

Gregory Francis Lum, M.D.

  • Pediatrics Physician
  • Los Gatos, CA
National Provider Identifier
1366554537
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G 78511 Issued in CA
Practice address
15000 Los Gatos Blvd Ste 3
Los Gatos, CA 95032-2017
Phone
(408) 370-2324
Fax
(408) 370-2385
NPI assigned
Aug 31, 2006
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G 78511 CA Primary

Addresses

Primary practice location

15000 Los Gatos Blvd Ste 3
Los Gatos, CA 95032-2017

Mailing address

PO Box 320925
Los Gatos, CA 95032-0115
Phone (408) 370-2324

Other practice location 1

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000248 CA Practitioner - Pediatric Medicine 1355340282 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Nov 15, 2018 Accepting new patients
County of Santa Clara Pediatrics CurrentSince Jul 30, 2018 Accepting new patients
County of San Mateo CurrentSince Nov 15, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of San Mateo CurrentSince Nov 15, 2018 Accepting new patients
County of Santa Clara CurrentSince Jul 30, 2018 Accepting new patients

Locations

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: glum173608@direct-ucsfmedicalcenter.org
  • Direct secure messaging: glum42046@santaclaravalley.direct-ci.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1366554537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320925",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950320115",
            "telephone_number": "408-370-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 LOS GATOS BLVD STE 3",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322017",
            "telephone_number": "408-370-2324",
            "fax_number": "408-370-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Welch Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041601",
            "country_code": "US",
            "telephone_number": "650-497-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "GREGORY",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G 78511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.