Individual provider Active NPI

Brian Hiroshi Lum, D.C.

  • Sports Physician Chiropractor
  • Signal Hill, CA
National Provider Identifier
1598802191
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC26768 Issued in CA
Practice address
2275 Redondo Ave
Signal Hill, CA 90755-4017
Phone
(562) 938-7665
Fax
(562) 684-4173
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC26768 CA Primary

Addresses

Primary practice location

2275 Redondo Ave
Signal Hill, CA 90755-4017

Mailing address

3351 E Hill St
Signal Hill, CA 90755-1219
Phone (562) 938-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000825 CA Practitioner - Chiropractic 0547399271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3351 E Hill St
Signal Hill, CA 90755-1219
Phone (562) 938-7665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26768CAMDSports Physician Chiropractor
26768CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Image Now Wellness Center Inc Sports Physician CurrentSince Feb 2, 2010 Accepting new patients

Locations

1155 E San Antonio Dr
Ste C
Long Beach, CA 90807
Phone (562) 423-8298

2275 Redondo Ave
Signal Hill, CA 90755
Phone (562) 366-3315

3351 E Hill St
Signal Hill, CA 90755
Phone (562) 938-7665

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1598802191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 E HILL ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907551219",
            "telephone_number": "562-938-7665",
            "fax_number": "562-684-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 REDONDO AVE",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907554017",
            "telephone_number": "562-938-7665",
            "fax_number": "562-684-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "BRIAN",
        "middle_name": "HIROSHI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC26768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.