Individual provider Active NPI

Lung San Louie, FNP

  • Family Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1487995684
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22449 Issued in CA
Practice address
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone
(760) 736-6767
NPI assigned
Mar 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22449 CA Primary

Addresses

Primary practice location

150 Valpreda Rd
San Marcos, CA 92069-2973

Mailing address

960 Melaleuca Ave
Apt J
Carlsbad, CA 92011-3848
Phone (510) 388-5813

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171017001574 CA Practitioner - Nurse Practitioner 3072832369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, San Francisco School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

664 Southland Mall
Hayward, CA 94545-2150
Phone (510) 266-1700

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320
  • Alameda Hospital Hospital, Alameda, CA, CCN 050211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Sep 15, 2017 Accepting new patients
Alameda Health System CurrentSince Apr 30, 2024 Accepting new patients
Alameda Health System CurrentSince Apr 30, 2024 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2017 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2017 Accepting new patients
County of San Mateo Current Accepting new patients
Alameda Health System Current Accepting new patients
Alameda Health System Past Accepting new patients

Locations

380 90th St
Daly City, CA 94015
Phone (650) 301-8600

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

306 Spruce Ave
South San Francisco, CA 94080
Phone (650) 589-9305

Interoperability endpoints

  • Direct secure messaging: llouie27694@ehrdirect.uhhospitals.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1487995684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MELALEUCA AVE",
            "address_2": "APT J",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920113848",
            "telephone_number": "510-388-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VALPREDA RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692973",
            "telephone_number": "760-736-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIE",
        "first_name": "LUNG",
        "middle_name": "SAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.