Individual provider Active NPI

Quoc Thai an Luu, M.D.

  • Radiation Oncology Physician
  • Modesto, CA
National Provider Identifier
1689692808
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A73125 Issued in CA
Practice address
600 Coffee Rd
Modesto, CA 95355-4201
Phone
(209) 521-6017
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A73125 CA Primary

Addresses

Primary practice location

600 Coffee Rd
Modesto, CA 95355-4201

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

880 E Tuolumne Rd
Suite 101
Turlock, CA 95382-1548
Phone (209) 664-5030

Other practice location 2

1316 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 575-5870

Other identifiers 5

IdentifierTypeStateIssuer
200082484MedicaidMO
201284510AMedicaidKS
00A731250MedicaidCA
016701028OtherKSKANAS MEDICARE
146240021OtherMOMO MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907001037 CA Practitioner - Radiation Oncology 5597731935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Oregon Health Sciences University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1316 Nelson Ave
Modesto, CA 95350-5341
Phone (209) 575-5870

4722 Quail Lakes Dr
Suite B
Stockton, CA 95207-5256
Phone (209) 472-1848

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

815 Court St
Jackson, CA 95642-2154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73125CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Central Care, PA Radiation Oncology CurrentSince Apr 20, 2020 Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Current Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2024 Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology CurrentSince Jan 6, 2023 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Citizens Memorial Healthcare Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Memorial Medical Center Inc Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1316 Nelson Ave
Modesto, CA 95350
Phone (209) 575-5870

345 Terracina Blvd
Redlands, CA 92373
Phone (909) 793-2174

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4722 Quail Lakes Dr
Ste B
Stockton, CA 95207
Phone (209) 472-1848

8929 Parallel Pkwy
Ste G
Kansas City, KS 66112
Phone (913) 318-7821

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: quoc.luu@cccancer.ikm.direct-ci.com
  • Direct secure messaging: qluu229160@hisp.ehr.sutterhealth.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1689692808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554201",
            "telephone_number": "209-521-6017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 E Tuolumne Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953821548",
            "country_code": "US",
            "telephone_number": "209-664-5030",
            "fax_number": "209-664-5037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1316 Nelson Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505341",
            "country_code": "US",
            "telephone_number": "209-575-5870",
            "fax_number": "209-575-5872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "QUOC",
        "middle_name": "THAI AN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A73125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200082484",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201284510A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A731250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANAS MEDICARE",
            "identifier": "016701028",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MEDICARE",
            "identifier": "146240021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.