NPIMap

Individual provider Active NPI

Than Luu, MD

  • Family Medicine Physician
  • Alhambra, CA
National Provider Identifier
1750548640
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101119 Issued in CA
Practice address
1231 E Valley Blvd
Alhambra, CA 91801-5235
Phone
(626) 608-9817
Fax
(833) 968-0278
NPI assigned
May 19, 2008
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A101119 CA Primary

Addresses

Primary practice location

1231 E Valley Blvd
Alhambra, CA 91801-5235

Mailing address

1231 E Valley Blvd
Alhambra, CA 91801-5235
Phone (626) 608-9817

Other identifiers 2

IdentifierTypeStateIssuer
1245019835MedicaidCA
1467805739MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000253 CA Practitioner - Family Practice 3375604101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1231 E Valley Blvd
Alhambra, CA 91801-5235
Phone (626) 608-9817

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101119CAMDDentist
A101119CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlite Health Center CurrentSince Dec 4, 2023 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

1231 E Valley Blvd
Alhambra, CA 91801
Phone (626) 608-9817

9014 Garvey Ave
Ste I
Rosemead, CA 91770
Phone (626) 216-4640

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: than.luumd.p1@direct.afh.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Precision Health CenterLos Angeles, CA, CCN A01136 Federally qualified health center Corporate Officer
W-2 Managing Employee		 Jan 1, 2021
Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1750548640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015235",
            "telephone_number": "626-608-9817",
            "fax_number": "833-968-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015235",
            "telephone_number": "626-608-9817",
            "fax_number": "833-968-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUU",
        "first_name": "THAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245019835",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467805739",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.