Active NPI
Paul P. M. Luo,M.D.Inc
- Surgery Physician
- Chino, CA
National Provider Identifier
1457536955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A37082
- Legal business name
- PAUL P. M. LUO,M.D.INC
- Practice address
- 5385 Walnut Ave
# 7
Chino, CA 91710-2605 - Phone
- (909) 464-9119
- Fax
- (909) 464-2201
- NPI assigned
- Jan 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul P.M. Luo, M.D.
- Title
- President
- Phone
- (909) 464-9119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A37082 | CA | Primary |
Addresses
Primary practice location
5385 Walnut Ave
# 7
Chino, CA 91710-2605
Mailing address
5385 Walnut Ave
# 7
Chino, CA 91710-2605
Phone (909) 464-9119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A370820 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5385 Walnut Ave
Ste 7
Chino, CA 91710
Phone (909) 464-9119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1457536955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5385 WALNUT AVE",
"address_2": "# 7",
"city": "CHINO",
"state": "CA",
"postal_code": "917102605",
"telephone_number": "909-464-9119",
"fax_number": "909-464-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5385 WALNUT AVE",
"address_2": "# 7",
"city": "CHINO",
"state": "CA",
"postal_code": "917102605",
"telephone_number": "909-464-9119",
"fax_number": "909-464-2201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL P. M. LUO,M.D.INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "LUO",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "P.M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-464-9119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A37082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A370820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.