Luis Sabelino De Lumen, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

57594 Issued in CA

Practice address

5244 Oliva Ave
#5
Lakewood, CA 90712-2352

Phone

(562) 587-1405

NPI assigned

Jan 17, 2009

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1538306287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GATEWAY CENTER WAY",
            "address_2": "#5",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024541",
            "telephone_number": "619-906-4623",
            "fax_number": "619-906-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 OLIVA AVE",
            "address_2": "#5",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122352",
            "telephone_number": "562-587-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LUMEN",
        "first_name": "LUIS",
        "middle_name": "SABELINO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-17",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine E De Camillo, LMT
• Jeremiah De Guzman
• Patricia De la Cruz
• Joshua De la Paz
• Josue De Loera
• Micaela De Mesa, OTR/L
• Dean Luong & Donald Luong DDS, Inc (D & D Dental Office)
• Kathlyn-Ann Ocampo Decena, OTR/L
• Kathleen Degrammont
• Michael Del Rosario, M.D.

• Dentist in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.

Verify at the official NPI Registry.