Active NPI
Ryan Hung Lu
- Medical Physician Assistant
- Auburn, CA
National Provider Identifier
1528835931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA63990
- Practice address
- 3280 Professional Dr
Auburn, CA 95602-2412 - Phone
- (530) 886-8630
- NPI assigned
- Dec 6, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA63990 | CA | Primary |
Addresses
Primary practice location
3280 Professional Dr
Auburn, CA 95602-2412
Mailing address
5051 El Don Dr Apt 201
Rocklin, CA 95677-4426
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3280 Professional Dr
Auburn, CA 95602-2412
Phone (530) 886-8630
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA63990 | CA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- General Practice Physician
- Auburn, CA
- NPI 1720192560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, CA
- NPI 1194774299
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731110400000",
"number": "1528835931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 EL DON DR APT 201",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956774426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 PROFESSIONAL DR",
"city": "AUBURN",
"state": "CA",
"postal_code": "956022412",
"telephone_number": "530-886-8630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "RYAN",
"middle_name": "HUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-06",
"last_updated": "2024-11-09",
"certification_date": "2024-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA63990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.