Active NPI
Trang Vu Lu, PA-C
- Physician Assistant
- Hacienda Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51765 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Current | Accepting new patients | |
| JWCH Institute, Inc. | Current | Accepting new patients | |
| JWCH Institute Inc | Current | Accepting new patients | |
| St. Johns Community Health | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1407808058
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Federally Qualified Health Center (FQHC)
- Lancaster, CA
- NPI 1073209177
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1598829350
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1528662582
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.