Andrzej Lubczuk, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

42568 Issued in CA

Practice address

9193 Sierra Ave Ste D
Fontana, CA 92335-4776

Phone

(909) 822-2226

Fax

(909) 822-2384

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lubczuk Professional Dental Corporation

  dba Fontana Dental Group

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1205051000
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760574867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9193 SIERRA AVE STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354776",
            "telephone_number": "909-822-2226",
            "fax_number": "909-822-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9193 SIERRA AVE STE D",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354776",
            "telephone_number": "909-822-2226",
            "fax_number": "909-822-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBCZUK",
        "first_name": "ANDRZEJ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linh Khanh Lu, MD
• Peggy Lam Lu, DO
• Marie Lua, RDH
• Alina Abby Leung Lubag, MD
• Lubczuk Professional Dental Corporation (Fontana Dental Group)
• Mylinh Nam Luca, MD
• Nancy Lynn Koras Lucas, CRNA
• Kenneth Alan Luck, PHARM.D.
• Lizlyn Rose Lao Lucrida, NP
• Vanessa Luera

• Dentist in Fontana, CA
• Providers in Fontana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.