Active NPI
Jessica Susan Lu, M.D., M.P.H.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1679728117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M77799
- Practice address
- UCLA Npi Semel
Box 951759, C8-225 Semel
Los Angeles, CA 90095-0001 - Phone
- (310) 825-5048
- NPI assigned
- Nov 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NOT YET RECEIVED | CA | |
| Psychiatry Physician | 2084P0800X | M77799 | MD | Primary |
Addresses
Primary practice location
UCLA Npi Semel
Box 951759, C8-225 Semel
Los Angeles, CA 90095-0001
Mailing address
11300 Rockville Pike Suite 714 Wcwcw
One Central Plaza
North Bethesda, MD 20852
Phone (301) 881-9464
Other names 1
- Ms. Jessica Susan Goldman
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOT YET RECEIVED | CA | MD | Psychiatry Physician |
| M77799 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Center for Women'S and Children'S Wellness | Past | Accepting new patients |
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.
-
- Cognitive & Behavioral Psychologist
- N Bethesda, MD
- NPI 1659555084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1679728117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 ROCKVILLE PIKE SUITE 714 WCWCW",
"address_2": "ONE CENTRAL PLAZA",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "20852",
"telephone_number": "301-881-9464",
"fax_number": "301-881-9298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCLA NPI SEMEL",
"address_2": "BOX 951759, C8-225 SEMEL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-5048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "JESSICA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "NOT YET RECEIVED",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "M77799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "GOLDMAN",
"middle_name": "SUSAN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.