Juanlu Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A9758 Issued in CA

Legal business name

JUANLU MEDICAL CORPORATION

Practice address

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Phone

(925) 285-6520

Fax

(510) 864-1626

NPI assigned

May 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Chung Juanlu, D.O.NPI 1922286418

Title

Owner

Phone

(925) 285-6520

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey C Juanlu, D.O.

  • Hospitalist Physician
  • Los Gatos, CA
  • NPI 1922286418
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1497047070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VISTA RD",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027721",
            "telephone_number": "925-285-6520",
            "fax_number": "510-864-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 YGNACIO VALLEY RD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983122",
            "telephone_number": "925-285-6520",
            "fax_number": "510-864-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUANLU MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "JUANLU",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-285-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1922286418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariam Joya
• Ghulam S. Joyo, MD
• Jpa7, LLC
• JT Health Inc.
• George Juan, M.D.
• Gagandip Kaur Judge
• Emma Judin
• Derek Jue, M.D.
• Katherine F. Jue, M.D.
• Leah Schrinel Juhle, MSN, NP-C

• Internal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.