Emmanuel C. Luna, M.D., Faafp, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49643 Issued in CA

Legal business name

EMMANUEL C. LUNA, M.D., FAAFP, INC.

Practice address

1500 S Central Ave
Suite 321
Glendale, CA 91204-2530

Phone

(818) 500-0880

Fax

(818) 500-0221

NPI assigned

Jan 30, 2007

Last updated

Oct 20, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Correa Luna, M.D.NPI 1316968571

Title

Secretary

Phone

(818) 500-0880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Emmanuel C Luna MD Faafp Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emmanuel C Luna, M.D., Faafp, Inc.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1649460858
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emmanuel Correa Luna, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1316968571
  Medicare reassignment NPD Authorized official
• Christophe S Lee, M.D.

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
  • NPI 1710081187
  NPD (past)
• Daniel D Lee, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Angeles, CA
  • NPI 1801990270
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1730226994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 321",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-500-0880",
            "fax_number": "818-500-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 321",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-500-0880",
            "fax_number": "818-500-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL C. LUNA, M.D., FAAFP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "CORREA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "818-500-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.