Kenneth L Lu, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A62592 Issued in CA

Practice address

622 W Duarte Rd Ste 101
Arcadia, CA 91007-9266

Phone

(626) 254-9010

Fax

(626) 254-9019

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jules Stein Eye Institute Medical GroupGroup PAC ID 5597663740, 118 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.31 of 100Reported as group

Quality

78.96

Promoting interoperability

100

Improvement activities

40

Cost

71.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klu344727@direct.uclahealth.org

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.

• Jules Stein Eye Institute Medical Group

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1326006966
  Medicare reassignment Care Compare group NPD
• Jules Stein Eye Institute Medical Group

  dba Doheny Eye Center UCLA - Orange County

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1770938292
  NPD
• Specialty Surgical Center of Arcadia, LLC

  • Ambulatory Surgical Clinic/Center
  • Arcadia, CA
  • NPI 1861408643
  NPD (past)
• Stephen G Bornfeld OD Inc

  • Optometrist
  • Arcadia, CA
  • NPI 1013255959
  NPD (past)
• UCLA Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043427248

  Ophthalmology

  NPD (past)
• Usc University Hospital, Inc.

  dba USC Hospital

  • Psychiatric Hospital Unit
  • Los Angeles, CA
  • NPI 1790718500
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1467514265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079266",
            "telephone_number": "626-254-9010",
            "fax_number": "626-254-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KENNETH",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A62592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A625920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180038472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A625920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Lozano
• Cari Lu, AMFT
• Elaine Lanfan Lu, DDS
• Ivy Ting-Yi Lu
• Kathy Lu, NP
• Louie Lu, DAIM. L.AC.
• Prudence Lu, NP
• Joni Louise Lucarelli, CD(DONA)
• Lucas Hospice Inc.
• Lucky Health Inc (Lucky Pharmacy)

• Ophthalmology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.