Individual provider Active NPI

Kyle K Luu

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1457632713
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11783 Issued in CA
Practice address
4444 El Cajon Blvd
Suite 5
San Diego, CA 92115-4392
Phone
(619) 241-8555
Fax
(619) 241-8525
NPI assigned
Aug 31, 2011
Last updated
Aug 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11783 CA Primary

Addresses

Primary practice location

4444 El Cajon Blvd
Suite 5
San Diego, CA 92115-4392

Mailing address

4444 El Cajon Blvd
Suite 5
San Diego, CA 92115-4392
Phone (619) 241-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC11783CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1457632713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 EL CAJON BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154392",
            "telephone_number": "619-241-8555",
            "fax_number": "619-241-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 EL CAJON BLVD",
            "address_2": "SUITE 5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154392",
            "telephone_number": "619-241-8555",
            "fax_number": "619-241-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "KYLE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.