Active NPI
Anna Lu, D.M.D
- Oral and Maxillofacial Surgery (Dentist)
- Livermore, CA
National Provider Identifier
1588746804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 52423
- Practice address
- 1038 Murrieta Blvd Ste a
Livermore, CA 94550-4151 - Phone
- (925) 447-4447
- Fax
- (925) 447-7925
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 52423 | CA | Primary |
Addresses
Primary practice location
1038 Murrieta Blvd Ste a
Livermore, CA 94550-4151
Mailing address
1038 Murrieta Blvd Ste a
Livermore, CA 94550-4151
Phone (925) 447-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52423 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52423 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588746804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1038 MURRIETA BLVD STE A",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504151",
"telephone_number": "925-447-4447",
"fax_number": "925-447-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1038 MURRIETA BLVD STE A",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504151",
"telephone_number": "925-447-4447",
"fax_number": "925-447-7925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "ANNA",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "52423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "52423",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.