Individual provider Active NPI

Giao Vinh Luong, DPM

  • Podiatrist
  • San Mateo, CA
National Provider Identifier
1699767111
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4293 Issued in CA
Practice address
1417 S. Claremont St.
San Mateo, CA 94402-2118
Phone
(650) 683-2073
Fax
(650) 654-9054
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4293 CA Primary

Addresses

Primary practice location

1417 S. Claremont St.
San Mateo, CA 94402-2118

Mailing address

1417 S Claremont St
#13
San Mateo, CA 94402-2118
Phone (650) 683-2073

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000557 CA Practitioner - Podiatry 2365460243 Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1417 S Claremont St
San Mateo, CA 94402-2118
Phone (650) 683-2073

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue200
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4293CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Podiatry Group, a Professional Corporation Podiatrist Current Accepting new patients
Community Podiatry Service, Inc. Podiatrist CurrentSince Jun 9, 2024 Accepting new patients
Craig Anthony Lenz Podiatrist Past Accepting new patients
Camarda Foot Clinic, Inc. Podiatrist Past Accepting new patients

Locations

1750 El Camino Real
Ste 105
Burlingame, CA 94010
Phone (650) 342-2420

38 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 342-2420

Organizations & group practices 4

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1699767111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 S CLAREMONT ST",
            "address_2": "#13",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022118",
            "telephone_number": "650-683-2073",
            "fax_number": "650-654-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 S. CLAREMONT ST.",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022118",
            "telephone_number": "650-683-2073",
            "fax_number": "650-654-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "GIAO",
        "middle_name": "VINH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.