Individual provider Active NPI

Paula Hennen Luber, M.D.

  • Family Medicine Physician
  • Encinitas, CA
National Provider Identifier
1497950760
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G60507 Issued in CA
Practice address
317 N El Camino Real Ste 402
Encinitas, CA 92024-2815
Phone
(760) 944-3408
Fax
(760) 479-0875
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G60507 CA Primary

Addresses

Primary practice location

317 N El Camino Real Ste 402
Encinitas, CA 92024-2815

Mailing address

317 N El Camino Real Ste 402
Encinitas, CA 92024-2815
Phone (760) 944-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 1, 2016 through Jun 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60507CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1497950760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL STE 402",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242815",
            "telephone_number": "760-944-3408",
            "fax_number": "760-479-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL STE 402",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242815",
            "telephone_number": "760-944-3408",
            "fax_number": "760-479-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBER",
        "first_name": "PAULA",
        "middle_name": "HENNEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G60507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.