NPIMap

Individual provider Active NPI

Linda Liu Luong, P.A.

  • Physician Assistant
  • Fullerton, CA
National Provider Identifier
1396972626
Registry record updated May 4, 2017
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Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19421 Issued in CA
Practice address
680 Langsdorf Dr
Fullerton, CA 92831-3702
Phone
(714) 879-0050
Fax
(714) 879-0249
NPI assigned
Jun 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19421 CA Primary

Addresses

Primary practice location

680 Langsdorf Dr
Fullerton, CA 92831-3702

Mailing address

680 Langsdorf Dr
Suite 103
Fullerton, CA 92831-3702
Phone (714) 879-0050

Other names 1

  • Linda Liu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000691 CA Practitioner - Physician Assistant 8921274739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 4486550183, 48 clinicians
Regents of the University of CaliforniaGroup PAC ID 5597663641, 61 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

680 Langsdorf Dr
Suite 103
Fullerton, CA 92831-3702
Phone (714) 879-0050

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19421CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Mar 1, 2016 Accepting new patients
First Choice Physician Partners CurrentSince Mar 1, 2016 Accepting new patients
Uci Physical Medicine & Rehabilitation Past Accepting new patients
University of California Irvine Past Accepting new patients
Uci Medical Group Past Accepting new patients

Locations

680 Langsdorf Dr
Ste 103
Fullerton, CA 92831
Phone (714) 879-0050

101 Laguna Rd
Ste A
Fullerton, CA 92835
Phone (714) 879-0050

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

16611 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 528-8670

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: linda.luong.1@30912.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1396972626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR",
            "address_2": "SUITE 103",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-879-0050",
            "fax_number": "714-879-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-879-0050",
            "fax_number": "714-879-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "LINDA",
        "middle_name": "LIU",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LIU",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.