NPIMap

Individual provider Active NPI

Zhi-Wen Lu, M.D.

  • Internal Medicine Physician
  • Glendora, CA
National Provider Identifier
1578746582
Registry record updated May 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56421 Issued in CA
Practice address
412 W Carroll Ave Ste 104
Glendora, CA 91741-4704
Phone
(626) 963-1413
Fax
(626) 852-1294
NPI assigned
Dec 12, 2007
Last updated
May 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56421 CA Primary

Addresses

Primary practice location

412 W Carroll Ave Ste 104
Glendora, CA 91741-4704

Mailing address

412 W Carroll Ave Ste 104
Glendora, CA 91741-4704
Phone (626) 963-1413

Other identifiers 4

IdentifierTypeStateIssuer
W21951OtherCAMEDICARE GROUP PTAN
00A564210MedicaidCA
1245214261OtherCANPI TYPE 2
WA56421COtherCAMEDICARE INDIVIDUAL PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000429 CA Practitioner - Internal Medicine 7214013432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411

401 W Ada Ave
Glendora, CA 91741-4241
Phone (626) 335-9810

412 W Carroll Ave
Glendora, CA 91741-4704
Phone (626) 963-1413

638 E Colorado Ave
Glendora, CA 91740-4422
Phone (626) 963-6091

805 W Arrow Hwy
Glendora, CA 91740-5413
Phone (626) 331-0781

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56421CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zhiwen Lu MD Inc Internal Medicine CurrentSince Apr 1, 2001 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

412 W Carroll Ave
Ste 104
Glendora, CA 91741
Phone (626) 963-1413

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: zhiwen.lu.p80@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210464000000",
    "number": "1578746582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414704",
            "telephone_number": "626-963-1413",
            "fax_number": "626-852-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W CARROLL AVE STE 104",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414704",
            "telephone_number": "626-963-1413",
            "fax_number": "626-852-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "ZHI-WEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "W21951",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1245214261",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WA56421C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.