Individual provider Active NPI

Yan Lu, NP

  • Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1568874089
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000530 Issued in CA
Practice address
19208 Jamboree Rd
Irvine, CA 92612-2502
Phone
(714) 456-8888
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP132258 TX
Nurse Practitioner 363L00000X 95000530 CA Primary

Addresses

Primary practice location

19208 Jamboree Rd
Irvine, CA 92612-2502

Mailing address

4112 Ambrosia LN
Plano, TX 75093-6021
Phone (626) 818-7149

Other practice location 1

7000 N. Mopac
Suite 420
Austin, TX 78731
Phone (512) 482-0045

Other identifiers 1

IdentifierTypeStateIssuer
95000530OtherCACALIFORNIA STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161107002469 TX Practitioner - Nurse Practitioner 8325327737 Reassigns benefits to 2 organizations
I20210315002702 CA Practitioner - Nurse Practitioner 8325327737 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Feb 25, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of CurrentSince Mar 1, 2025 Accepting new patients
Lonestar Hospital Medicine Associates, PA CurrentSince Feb 14, 2017 Accepting new patients
University Anesthesia Medical Group CurrentSince Feb 25, 2021 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Feb 25, 2021 Accepting new patients
University of California San Francisco CurrentSince Feb 25, 2021 Accepting new patients
University of California San Francisco CurrentSince Feb 25, 2021 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Dec 17, 2017 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

19208 Jamboree Rd
Irvine, CA 92612
Phone (657) 579-3460

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 10

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1568874089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 AMBROSIA LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936021",
            "telephone_number": "626-818-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19208 JAMBOREE RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122502",
            "telephone_number": "714-456-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 N. Mopac",
            "address_2": "Suite 420",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78731",
            "country_code": "US",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "YAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP132258",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF NURSING",
            "identifier": "95000530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.