Active NPI
Tommy C Lu, M.D.
- Infectious Disease Physician
- Monterey Park, CA
National Provider Identifier
1699795757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A50004
- Practice address
- 525 N Garfield Ave
Monterey Park, CA 91754-1202 - Phone
- (951) 929-6260
- Fax
- (951) 765-2855
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A50004 | CA | Primary |
Addresses
Primary practice location
525 N Garfield Ave
Monterey Park, CA 91754-1202
Mailing address
PO Box 788
Hemet, CA 92546-0788
Phone (951) 929-6260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A500041 | Medicaid | CA |
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 |
|---|---|---|---|
| A50004 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1699795757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "HEMET",
"state": "CA",
"postal_code": "925460788",
"telephone_number": "951-929-6260",
"fax_number": "951-765-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N GARFIELD AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541202",
"telephone_number": "951-929-6260",
"fax_number": "951-765-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LU",
"first_name": "TOMMY",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A50004",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A500041",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.