Active NPI
Lu & Weber Corporation
- Home Infusion Therapy Pharmacy
- Garden Grove, CA
National Provider Identifier
1801828389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- PHA439860
- Legal business name
- LU & WEBER CORPORATION
- Doing business as
- Advanced InfusionCare
Preferred Excellent Care Pharmacy - Practice address
- 10521 Garden Grove Blvd BLDG 4
Garden Grove, CA 92843-1128 - Phone
- (714) 643-8890
- Fax
- (714) 643-8891
- NPI assigned
- Jul 7, 2006
- 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
- Juderal Hall
- Title
- President
- Phone
- (855) 672-0055
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHA439860 | CA | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHA439860 | CA | |
| Home Infusion Therapy Pharmacy | 3336H0001X | PHA439860 | CA | Primary |
Addresses
Primary practice location
10521 Garden Grove Blvd BLDG 4
Garden Grove, CA 92843-1128
Mailing address
623 Highland Colony Pkwy Ste 100
Ridgeland, MS 39157-6077
Phone (714) 643-8890
Other names 2
- Advanced InfusionCare
- Preferred Excellent Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930054901 | CA | DME Supplier - Pharmacy | 4082796545 | Practice locations: Garden Grove, CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Panama City, FL
- NPI 1376151423
Member Of
Locations
10521 Garden Grove Blvd
Bldg 4
Garden Grove, CA 92843
Phone (714) 643-8890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1801828389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 HIGHLAND COLONY PKWY STE 100",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391576077",
"telephone_number": "714-643-8890",
"fax_number": "714-643-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10521 GARDEN GROVE BLVD BLDG 4",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431128",
"telephone_number": "714-643-8890",
"fax_number": "714-643-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LU & WEBER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "JUDERAL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-672-0055"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "PHA439860",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CA",
"license": "PHA439860",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "CA",
"license": "PHA439860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced InfusionCare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Preferred Excellent Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.