Individual provider Active NPI

Anne Luu

  • Family Nurse Practitioner
  • San Gabriel, CA
National Provider Identifier
1437634045
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008992 Issued in CA
Practice address
1418 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-4605
Phone
(626) 782-7021
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008992 CA Primary

Addresses

Primary practice location

1418 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-4605

Mailing address

1418 S San Gabriel Blvd Ste B
San Gabriel, CA 91776-4605
Phone (626) 782-7021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912000207 CA Practitioner - Nurse Practitioner 5496088536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TL Health Care FoundationGroup PAC ID 0446622120, 4 clinicians

Practice addresses (Care Compare)

1418 S San Gabriel Blvd
San Gabriel, CA 91776-4605
Phone (626) 293-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008992CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TL Health Care Foundation CurrentSince Aug 14, 2024 Accepting new patients
S. K. Medical Group Inc. CurrentSince Aug 6, 2024 Accepting new patients

Locations

1418 S San Gabriel Blvd
Ste C
San Gabriel, CA 91776
Phone (626) 293-1988

1418 S San Gabriel Blvd
Ste B
San Gabriel, CA 91776
Phone (626) 293-1988

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1437634045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764605",
            "telephone_number": "626-782-7021",
            "fax_number": "626-782-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S SAN GABRIEL BLVD STE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917764605",
            "telephone_number": "626-782-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.