Active NPI
Jennie Luna, M.D
- Endocrinology, Diabetes & Metabolism Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- C168717
- Practice address
- 4060 Fourth Ave
San Diego, CA 92103-2116 - Phone
- (619) 298-9931
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | C168717 | CA | Primary |
Addresses
Primary practice location
4060 Fourth Ave
San Diego, CA 92103-2116
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (619) 298-9931
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4060 4TH Ave
Suite 330
San Diego, CA 92103-2190
Phone (619) 298-9931
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C168717 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| San Gorgonio Memorial Hospital | Past | Accepting new patients | |
| Redlands Community Hospital | Past | Accepting new patients | |
| Virtua - Memorial Hospital Burlington County, Inc | Past | Accepting new patients | |
| The Valley Hospital Inc. | Past | Accepting new patients | |
| Virtua - West Jersey Health System, Inc. | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
4060 4th Ave
Ste 330
San Diego, CA 92103
Phone (619) 291-2274
Interoperability endpoints
- jluna104281@directvirtua.org
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- General Acute Care Hospital
- Fair Lawn, NJ
- NPI 1639154552
-
- Psychiatric Hospital Unit
- Mount Holly, NJ
- NPI 1174529846
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1598078883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "619-298-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FOURTH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032116",
"telephone_number": "619-298-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "JENNIE",
"name_prefix": "Mrs.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "C168717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.