Active NPI
Valentino Pineda Luna Jr.
- Specialist
- Austin, TX
National Provider Identifier
1376602342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2800 S Ih 35 Ste 125
Austin, TX 78704-5707 - Phone
- (512) 462-0001
- Fax
- (512) 462-1926
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2800 S Ih 35 Ste 125
Austin, TX 78704-5707
Mailing address
2800 S Ih 35 Ste 125
Austin, TX 78704-5707
Phone (512) 462-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093573601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valentino P Luna Jr | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Austin, TX
- NPI 1083882666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1376602342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 S IH 35 STE 125",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045707",
"telephone_number": "512-462-0001",
"fax_number": "512-462-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 S IH 35 STE 125",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045707",
"telephone_number": "512-462-0001",
"fax_number": "512-462-1926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "VALENTINO",
"middle_name": "PINEDA",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093573601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.