Individual provider Active NPI

John Luu, DC

  • Chiropractor
  • San Mateo, CA
National Provider Identifier
1710403092
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33893 Issued in CA
Practice address
3153 Campus Dr
San Mateo, CA 94403
Phone
(408) 896-5576
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33893 CA Primary

Addresses

Primary practice location

3153 Campus Dr
San Mateo, CA 94403

Mailing address

3153 Campus Dr
San Mateo, CA 94403-3118
Phone (650) 576-7521

Other practice location 1

3153 Campus Dr
San Mateo, CA 94403-3118
Phone (650) 576-7521

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Luu Chiropractor Current Accepting new patients
Marshall T Lee Chiropractic, Inc. Chiropractor CurrentSince Nov 15, 2022 Accepting new patients

Locations

3153 Campus Dr
San Mateo, CA 94403
Phone (408) 896-5576

2821 Crow Canyon Rd
Ste 104
San Ramon, CA 94583
Phone (925) 838-4222

Organizations & group practices 2

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1710403092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 CAMPUS DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033118",
            "telephone_number": "650-576-7521",
            "fax_number": "650-249-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 CAMPUS DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94403",
            "telephone_number": "408-896-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3153 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944033118",
            "country_code": "US",
            "telephone_number": "650-576-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.