Active NPI
David B Lu MD Inc
- Pain Medicine (Anesthesiology) Physician
- Costa Mesa, CA
National Provider Identifier
1730388752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G77795
- Legal business name
- DAVID B LU MD INC
- Practice address
- 301 Victoria St
Costa Mesa, CA 92627-1995 - Phone
- (949) 642-2734
- Fax
- (949) 574-3318
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Lu, MD
- Title
- Presidnet
- Phone
- (949) 588-2190
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G77795 | CA | Primary |
Addresses
Primary practice location
301 Victoria St
Costa Mesa, CA 92627-1995
Mailing address
5 Holland
Irvine, CA 92618-2566
Phone (949) 588-2190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G777950 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Covina, CA
- NPI 1306871199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193270400000",
"number": "1730388752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HOLLAND",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182566",
"telephone_number": "949-588-2190",
"fax_number": "949-588-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271995",
"telephone_number": "949-642-2734",
"fax_number": "949-574-3318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID B LU MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2007-10-25",
"status": "A",
"authorized_official_last_name": "LU",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDNET",
"authorized_official_telephone_number": "949-588-2190",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G77795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G777950",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.