Nathaniel Lua

Primary specialty

PharmacistTaxonomy code 183500000X

License

73952 Issued in CA

Practice address

1908 Santa Monica Blvd Ste 4
Santa Monica, CA 90404-1991

Phone

(310) 315-9999

NPI assigned

Oct 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SMC Pharmacy LLC

  • Community/Retail Pharmacy
  • Santa Monica, CA
  • NPI 1518265628
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1508463118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SANTA MONICA BLVD STE 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041991",
            "telephone_number": "310-315-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 SANTA MONICA BLVD STE 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041991",
            "telephone_number": "310-315-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUA",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chauloan Lu, O.D.
• Daniel Chia-Hsing Lu, M.D.
• Judy Thuy Lu
• Raymond Lu
• Cynthia Lua, LMFT
• Karen Lubbers, MFT
• Matthew Alan Lublin, M.D.
• Lauryn Lucido
• Arona B. Luckerman, PSYD
• Antonia Noble Ludwig, ANTONIA LUDWIG

• Pharmacist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.