Jack Y S Luo, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A182033 Issued in CA

Practice address

1411 Oliver Rd Ste 250
Fairfield, CA 94534-3425

Phone

(707) 426-5407

Fax

(707) 426-6376

NPI assigned

Apr 2, 2020

Last updated

Jul 17, 2026By 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

Other names 1

• Jack Ys Luo Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

F H Netter, M.D. School of Med at Quinnipiac Univ, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ong Rubin Shahmir a Medical CorporationGroup PAC ID 7315123007, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Fairfield Dialysis Center Dialysis facility, Fairfield, CA, CCN 052618
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ong Rubin Shahmir a Medical Corporation

  dba Solano Kidney Care

  • Nephrology Physician
  • Fairfield, CA
  • NPI 1992000152
  Medicare reassignment Care Compare group NPD
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Regents of the Univ of Ca

  • Pulmonary Disease Physician
  • Sacramento, CA
  • NPI 1437142692
  NPD (past)
• Sutter Regional Medical Foundation

  • Family Medicine Physician
  • Fairfield, CA
  • NPI 1558388504
  NPD (past)

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

• Northbay Healthcare Group

  dba dba NorthBay Medical Center

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1851920854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD STE 250",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343425",
            "telephone_number": "707-426-5407",
            "fax_number": "707-426-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 OLIVER RD STE 250",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945343425",
            "telephone_number": "707-426-5407",
            "fax_number": "707-426-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUO",
        "first_name": "JACK",
        "middle_name": "Y S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A182033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "LUO",
            "middle_name": "YS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan Tin Chee Lum, OT
• Patrick Aubrey Lumauod
• Charlin Amber Lumia, LMFT
• Nora Luna
• Catherine Ann Lundeen, MA, LMFT
• Xing-Xing Luo, MD
• Lyubov Lupyan-Teytelman, P.A.
• Luxottica of America Inc. (Lenscrafters #8556)
• Luxottica of America Inc. (LensCrafters #1179)
• Luxottica Retail North America Inc (Sears Optical #C0370)

• Nephrology Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.