Organization Active NPI

Manuel Luna MD Inc

  • Family Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1467799569
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C23460 Issued in CA
Legal business name
MANUEL LUNA MD INC
Practice address
225 Spruce Ave
South San Francisco, CA 94080-3631
Phone
(650) 871-5858
Fax
(650) 871-4834
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Ms. Summer Marie Luna
Title
Office Manager
Phone
(650) 871-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C23460 CA Primary

Addresses

Primary practice location

225 Spruce Ave
South San Francisco, CA 94080-3631

Mailing address

225 Spruce Ave
South San Francisco, CA 94080-3631
Phone (650) 871-5858

Other identifiers 1

IdentifierTypeStateIssuer
00C234600MedicaidCA

National Provider Directory

National Provider Directory

Locations

161 S Spruce Ave
Ste B
South San Francisco, CA 94080
Phone (650) 871-5858

225 Spruce Ave
South San Francisco, CA 94080
Phone (650) 588-2240

Practitioners & affiliated clinicians

Practitioners 2

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": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1467799569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SPRUCE AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803631",
            "telephone_number": "650-871-5858",
            "fax_number": "650-871-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SPRUCE AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803631",
            "telephone_number": "650-871-5858",
            "fax_number": "650-871-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL LUNA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-871-5858",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C23460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C234600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.