Individual provider Active NPI

David Zhiyan Luton

  • Acupuncturist
  • Lake Forest, CA
National Provider Identifier
1639239148
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
8605 Issued in CA
Practice address
22762 Aspan St
# 205
Lake Forest, CA 92630-1604
Phone
(949) 380-9599
Fax
(949) 680-3378
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 8605 CA Primary

Addresses

Primary practice location

22762 Aspan St
# 205
Lake Forest, CA 92630-1604

Mailing address

22762 Aspan St
# 205
Lake Forest, CA 92630-1604
Phone (949) 380-9599

Other names 1

  • Zhiyan Lu Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8605CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1639239148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST",
            "address_2": "# 205",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "949-380-9599",
            "fax_number": "949-680-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22762 ASPAN ST",
            "address_2": "# 205",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301604",
            "telephone_number": "949-380-9599",
            "fax_number": "949-680-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTON",
        "first_name": "DAVID",
        "middle_name": "ZHIYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "8605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZHIYAN",
            "last_name": "LU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.