Active NPI
Quoc Thai an Luu, M.D.
- Radiation Oncology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A73125
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200082484 | Medicaid | MO | |
| 201284510A | Medicaid | KS | |
| 00A731250 | Medicaid | CA | |
| 016701028 | Other | KS | KANAS MEDICARE |
| 146240021 | Other | MO | MO 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A73125 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Central Care, PA | Radiation Oncology | Current | 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 | Current | Accepting new patients | |
| Genesiscare USA of California a Medical Corporation | Radiation Oncology | Current | 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
- quoc.luu@cccancer.ikm.direct-ci.com
- 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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Radiation Oncology Physician
- Palm Desert, CA
- NPI 1861472318
-
- Radiation Oncology Physician
- Modesto, CA
- NPI 1881624583
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Radiation Oncology Physician
- Kansas City, KS
- NPI 1891335873
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1174615330
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
-
- Surgery Physician
- Bolivar, MO
- NPI 1568566131
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.