Active NPI
Gregory Francis Lum, M.D.
- Pediatrics Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G 78511
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of Santa Clara | Pediatrics | Current | Accepting new patients |
| County of San Mateo | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of Santa Clara | Current | 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
- glum173608@direct-ucsfmedicalcenter.org
- 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.
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
dba San Mateo Medical Center
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
dba Josefina Narvaez Mental Health Center MH Aoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
dba SCVMC Physician Services
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
Pediatrics
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.