Individual provider Active NPI

Trang Vu Lu, PA-C

  • Physician Assistant
  • Hacienda Heights, CA
National Provider Identifier
1518375229
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51765 Issued in CA
Practice address
15898 Gale Ave
Hacienda Heights, CA 91745-1601
Phone
(626) 346-3750
NPI assigned
Jul 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 51765 CA Primary

Addresses

Primary practice location

15898 Gale Ave
Hacienda Heights, CA 91745-1601

Mailing address

15898 Gale Ave
Hacienda Heights, CA 91745-1601
Phone (626) 274-4809

Other practice location 1

8530 Firestone Blvd
Downey, CA 90241-4926
Phone (562) 862-1000

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
I20150722004302 CA Practitioner - Physician Assistant 3779896501 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51765CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince May 23, 2015 Accepting new patients
JWCH Institute, Inc. CurrentSince Jul 13, 2015 Accepting new patients
JWCH Institute Inc CurrentSince Jul 13, 2015 Accepting new patients
St. Johns Community Health CurrentSince May 23, 2015 Accepting new patients

Locations

5650 Jillson St
Commerce, CA 90040
Phone (213) 484-1186

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

8530 Firestone Blvd
Downey, CA 90241
Phone (562) 862-1000

15898 Gale Ave
Hacienda Heights, CA 91745
Phone (626) 346-3750

12360 Firestone Blvd
Norwalk, CA 90650
Phone (562) 281-0305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: trang.lu.p1@direct.jwch.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1518375229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15898 GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451601",
            "telephone_number": "626-274-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15898 GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451601",
            "telephone_number": "626-346-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8530 Firestone Blvd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902414926",
            "country_code": "US",
            "telephone_number": "562-862-1000",
            "fax_number": "562-862-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "TRANG",
        "middle_name": "VU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-25",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.