Individual provider Active NPI

Frank Feng Luo, MD

  • Dermatopathology (Pathology) Physician
  • Pasadena, CA
National Provider Identifier
1730114521
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
A64965 Issued in CA
Practice address
1180 Laurel St
Pasadena, CA 91103-2329
Phone
(626) 589-8525
Fax
(626) 604-9113
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A64965 CA
Dermatopathology (Pathology) Physician 207ZD0900X A64965 CA Primary

Addresses

Primary practice location

1180 Laurel St
Pasadena, CA 91103-2329

Mailing address

1180 Laurel St
Pasadena, CA 91103-2329
Phone (626) 589-8525

Other names 1

  • Dr. Feng Luo Former name

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
I20140523000620 CA Practitioner - Pathology 5991847576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64965CAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Pathologists Medical Group, Inc. Dermatopathology CurrentSince Feb 8, 2020 Accepting new patients
Daniel Taheri MD PC Dermatopathology Past Accepting new patients
Soc Pathology Medical Group Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

20001 S Rancho Way
Rancho Dominguez, CA 90220
Phone (310) 225-3221

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1730114521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 LAUREL ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032329",
            "telephone_number": "626-589-8525",
            "fax_number": "626-604-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 LAUREL ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032329",
            "telephone_number": "626-589-8525",
            "fax_number": "626-604-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "FRANK",
        "middle_name": "FENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A64965",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A64965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FENG",
            "last_name": "LUO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.