Individual provider Active NPI

Gordon C Luan, MD

  • Family Medicine Physician
  • Ramona, CA
National Provider Identifier
1548236771
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83256 Issued in CA
Practice address
1236 Main St
Ramona, CA 92065-2125
Phone
(760) 789-5160
NPI assigned
Feb 27, 2006
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A83256 CA Primary

Addresses

Primary practice location

1236 Main St
Ramona, CA 92065-2125

Mailing address

PO Box 28199
San Diego, CA 92198-0199
Phone (858) 613-8900

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000316 CA Practitioner - Family Practice 5496836660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Herald Christian Health CenterGroup PAC ID 0941337117, 12 clinicians

Practice addresses (Care Compare)

7808 Clairemont Mesa Blvd
San Diego, CA 92111-1613
Phone (858) 598-6789

923 S San Gabriel Blvd
San Gabriel, CA 91776-2743
Phone (626) 286-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83256CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herald Christian Health Center Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Herald Christian Health Center Family Medicine CurrentSince Apr 1, 2021 Accepting new patients

Locations

3401 Aero Jet Ave
El Monte, CA 91731
Phone (626) 286-8700

8841 Garvey Ave
Rosemead, CA 91770
Phone (626) 286-8700

7808 Clairemont Mesa Blvd
Unit A1
San Diego, CA 92111

923 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 286-7018

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFJBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1548236771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28199",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980199",
            "telephone_number": "858-613-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 MAIN ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652125",
            "telephone_number": "760-789-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUAN",
        "first_name": "GORDON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramona, CA

Sources for this page

Verify at the official NPI Registry.