Individual provider Active NPI

Stephen Lui, M.D.

  • Nephrology Physician
  • Lynwood, CA
National Provider Identifier
1891770384
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A87511 Issued in CA
Practice address
3625 Martin Luther King Jr Blvd
Suite 5
Lynwood, CA 90262-3509
Phone
(310) 763-7504
Fax
(310) 763-7573
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A87511 CA Primary

Addresses

Primary practice location

3625 Martin Luther King Jr Blvd
Suite 5
Lynwood, CA 90262-3509

Mailing address

PO Box 10693
Newport Beach, CA 92658-5005
Phone (310) 763-7504

Other practice location 1

11180 Warner Ave Ste 353
Fountain Valley, CA 92708-7516
Phone (714) 406-0185

Other practice location 2

18785 Brookhurst St Ste 200
Fountain Valley, CA 92708-7300
Phone (714) 824-2610

Other practice location 3

31001 Rancho Viejo Rd Ste 100A
San Juan Capistrano, CA 92675-8704
Phone (714) 824-2610

Other practice location 4

1974 Santa Fe Ave
Long Beach, CA 90810-4064
Phone (562) 595-9799

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000566 CA Practitioner - NephrologyPractitioner - Internal Medicine 4385672534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11180 Warner Ave
Suite 353
Fountain Valley, CA 92708-7516
Phone (714) 406-0185

3625 Martin Luther King Jr Blvd
Suite 5
Lynwood, CA 90262-3509
Phone (310) 763-7504

Hospital & facility affiliations

  • Centro de Cuidado Renal, LLC Dialysis facility, Huntington Park, CA, CCN 752572
  • FMC-Paramount Hope Dialysis Center Dialysis facility, Paramount, CA, CCN 552884
  • Peritoneal Dialysis Center of America, Inc. Dialysis facility, Montebello, CA, CCN 552585
  • DaVita United Dialysis Center Dialysis facility, Long Beach, CA, CCN 052671
  • DaVita Kidney Dialysis Care Unit Dialysis facility, Lynwood, CA, CCN 052502
  • Saint Francis Medical Center Hospital, Lynwood, CA, CCN 050104
  • Coast Plaza Hospital Hospital, Norwalk, CA, CCN 050771
  • Kindred Hospital -- la Mirada Long-term care hospital, La Mirada, CA, CCN 052038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Mar 18, 2013 Accepting new patients
County of Los Angeles CurrentSince Mar 18, 2013 Accepting new patients
Stephen Lui MD Inc Nephrology CurrentSince Jul 7, 2007 Accepting new patients
Brian M Lee MD Inc Nephrology Past Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

18785 Brookhurst St
Ste 200
Fountain Valley, CA 92708
Phone (714) 378-5330

11180 Warner Ave
Ste 353
Fountain Vly, CA 92708
Phone (714) 751-3540

1974 Santa Fe Ave
Long Beach, CA 90810
Phone (310) 435-2003

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

3625 Martin Luther King Jr Blvd
Ste 5
Lynwood, CA 90262
Phone (310) 763-7504

31001 Rancho Viejo Rd
Ste 100A
San Juan Capistrano, CA 92675
Phone (714) 367-4275

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1891770384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10693",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585005",
            "telephone_number": "310-763-7504",
            "fax_number": "310-763-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 5",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623509",
            "telephone_number": "310-763-7504",
            "fax_number": "310-763-7573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11180 Warner Ave Ste 353",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087516",
            "country_code": "US",
            "telephone_number": "714-406-0185",
            "fax_number": "310-763-7573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18785 Brookhurst St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087300",
            "country_code": "US",
            "telephone_number": "714-824-2610",
            "fax_number": "434-423-4550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31001 Rancho Viejo Rd Ste 100A",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926758704",
            "country_code": "US",
            "telephone_number": "714-824-2610",
            "fax_number": "434-423-4550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1974 Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908104064",
            "country_code": "US",
            "telephone_number": "562-595-9799",
            "fax_number": "434-423-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUI",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A87511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.