Organization Active NPI

Luna Beck MD & Associates PA

  • Non-Pharmacy Dispensing Site
  • Summerfield, FL
National Provider Identifier
1457625824
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
LUNA BECK MD & ASSOCIATES PA
Practice address
17820 SE 109TH Ave
Suite 107
Summerfield, FL 34491-8968
Phone
(352) 307-7940
NPI assigned
Mar 2, 2012
Organization subpart
Yes
Parent organization
LUNA BECK MD & ASSOCIATES PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Luna B. Beck, M.D.NPI 1790742062
Title
President
Phone
(352) 307-7940

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
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

17820 SE 109TH Ave
Suite 107
Summerfield, FL 34491-8968

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1052970Luna Beck MD & Associates PA17820 SE 109TH Ave Ste 107, Summerfield, FL 34491AccreditationMar 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Luna Beck MD Associates PA2 organizations share this tax ID, including this one
Part of
Luna Beck MD Associates PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1457625824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "SUITE 107",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-307-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA BECK MD & ASSOCIATES PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUNA BECK MD & ASSOCIATES PA",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "LUNA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-307-7940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.