Organization Active NPI

Anne Luhan MD Inc

  • General Practice Physician
  • Mission Viejo, CA
National Provider Identifier
1417200783
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A104117 Issued in CA
Legal business name
ANNE LUHAN MD INC
Practice address
26691 Plaza Ste 140
Mission Viejo, CA 92691-8581
Phone
(949) 445-0819
Fax
(949) 866-3757
NPI assigned
Oct 23, 2012
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Anne Luhan, MDNPI 1093985731
Title
Owner
Phone
(949) 388-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A104117 CA Primary

Addresses

Primary practice location

26691 Plaza Ste 140
Mission Viejo, CA 92691-8581

Mailing address

26691 Plaza Ste 140
Mission Viejo, CA 92691-8581
Phone (949) 445-0819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130110000524 CA Part B Supplier - Clinic/Group Practice 3577716117 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA; Mission Viejo, CA

National Provider Directory

National Provider Directory

Locations

26691 Plaza
Ste 140
Mission Viejo, CA 92691
Phone (949) 388-4800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1417200783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918581",
            "telephone_number": "949-445-0819",
            "fax_number": "949-866-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26691 PLAZA STE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918581",
            "telephone_number": "949-445-0819",
            "fax_number": "949-866-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE LUHAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "LUHAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-388-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A104117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.