Organization Active NPI

Coreshift Chiropractic and Wellness Lam-Luu Inc

  • Chiropractor
  • Upland, CA
National Provider Identifier
1477480911
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORESHIFT CHIROPRACTIC AND WELLNESS LAM-LUU INC
Practice address
481 N Central Ave Ste B
Upland, CA 91786-7283
Phone
(909) 946-8900
Fax
(909) 946-8958
NPI assigned
May 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Tracy Lam-Luu, DCNPI 1003329137
Title
Ceo
Phone
(626) 478-6733

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

481 N Central Ave Ste B
Upland, CA 91786-7283

Mailing address

481 N Central Ave Ste B
Upland, CA 91786-7283
Phone (909) 946-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260602001723 CA Part B Supplier - Clinic/Group Practice 4880165711 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

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": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1477480911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 N CENTRAL AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867283",
            "telephone_number": "909-946-8900",
            "fax_number": "909-946-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 N CENTRAL AVE STE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917867283",
            "telephone_number": "909-946-8900",
            "fax_number": "909-946-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORESHIFT CHIROPRACTIC AND WELLNESS LAM-LUU INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "LAM-LUU",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-478-6733",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.