Active NPI
Jelina Luu
- Physician Assistant
- Placentia, CA
National Provider Identifier
1801565155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60014
- Practice address
- 1325 N Rose Dr Ste 203
Placentia, CA 92870-3800 - Phone
- (714) 888-3629
- Fax
- (714) 202-0580
- NPI assigned
- Sep 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60014 | CA | Primary |
Addresses
Primary practice location
1325 N Rose Dr Ste 203
Placentia, CA 92870-3800
Mailing address
1325 N Rose Dr Ste 203
Placentia, CA 92870-3800
Other practice location 1
1275 N Rose Dr Ste 126
Placentia, CA 92870-3919
Phone (714) 524-3880
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60014 | CA | MD | Physician Assistant |
Interoperability endpoints
- jelina.luu.2@29786.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1750858510
-
- Clinic/Center
- Placentia, CA
- NPI 1275690828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1801565155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 N ROSE DR STE 203",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N ROSE DR STE 203",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928703800",
"telephone_number": "714-888-3629",
"fax_number": "714-202-0580"
}
],
"practiceLocations": [
{
"address_1": "1275 N Rose Dr Ste 126",
"address_purpose": "LOCATION",
"city": "Placentia",
"state": "CA",
"postal_code": "928703919",
"country_code": "US",
"telephone_number": "714-524-3880",
"fax_number": "714-524-3884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUU",
"first_name": "JELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-09",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.