Active NPI
Meng Huy Luy
- Family Nurse Practitioner
- Thousand Oaks, CA
National Provider Identifier
1396506598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95028449
- Practice address
- 2190 Lynn Rd Ste 240
Thousand Oaks, CA 91360-8021 - Phone
- (805) 370-1965
- Fax
- (805) 370-1984
- NPI assigned
- Jan 16, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95028449 | CA | Primary |
Addresses
Primary practice location
2190 Lynn Rd Ste 240
Thousand Oaks, CA 91360-8021
Mailing address
11573 Coralberry CT
Moorpark, CA 93021-2431
Phone (805) 791-5045
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028449 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1396506598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11573 CORALBERRY CT",
"city": "MOORPARK",
"state": "CA",
"postal_code": "930212431",
"telephone_number": "805-791-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 LYNN RD STE 240",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913608021",
"telephone_number": "805-370-1965",
"fax_number": "805-370-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUY",
"first_name": "MENG",
"middle_name": "HUY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95028449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.