Individual provider Active NPI

David Gonzalez Luna

  • Nurse Practitioner
  • Pomona, CA
National Provider Identifier
1790653772
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95036898 Issued in CA
Practice address
450 W Foothill Blvd Apt 133
Pomona, CA 91767-1083
Phone
(626) 566-0215
NPI assigned
Oct 29, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95036898 CA Primary

Addresses

Primary practice location

450 W Foothill Blvd Apt 133
Pomona, CA 91767-1083

Mailing address

450 W Foothill Blvd Apt 133
Pomona, CA 91767-1083
Phone (626) 566-0215

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326003551 CA Practitioner - Nurse Practitioner 1052896198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 385-1456

2603 Via Campo
Suite 100
Montebello, CA 90640-1807
Phone (626) 752-2770

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614

600 S Lake Ave
Suite 105
Pasadena, CA 91106-3955
Phone (626) 844-8848

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95036898CAMDNurse Practitioner

Organizations & group practices 1

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": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1790653772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W FOOTHILL BLVD APT 133",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671083",
            "telephone_number": "626-566-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W FOOTHILL BLVD APT 133",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671083",
            "telephone_number": "626-566-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ LUNA",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95036898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.