Organization Active NPI

Harold Luke MD Inc

  • Family Medicine Physician
  • Redlands, CA
National Provider Identifier
1417000506
Registry record updated Jan 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G024934 Issued in CA
Legal business name
HAROLD LUKE MD INC
Practice address
137 E Vine St
Redlands, CA 92373-4759
Phone
(909) 793-0077
Fax
(909) 793-8262
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2009

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

Authorized official

Name
Harold Pohang Luke, MD
Title
Ceo
Phone
(909) 793-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G024934 CA Primary

Addresses

Primary practice location

137 E Vine St
Redlands, CA 92373-4759

Mailing address

137 E Vine St
Redlands, CA 92373-4759
Phone (909) 793-0077

Other identifiers 1

IdentifierTypeStateIssuer
00G249341MedicaidCA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231545600000",
    "number": "1417000506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 E VINE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734759",
            "telephone_number": "909-793-0077",
            "fax_number": "909-793-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E VINE ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734759",
            "telephone_number": "909-793-0077",
            "fax_number": "909-793-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD LUKE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-01-10",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "POHANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-793-0077",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G024934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G249341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.