Organization Active NPI

Paul P. M. Luo,M.D.Inc

  • Surgery Physician
  • Chino, CA
National Provider Identifier
1457536955
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A37082 Issued in CA
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

Updated by the provider on Jan 8, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A370820MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.