Organization Active NPI

Justin a Luu, DPM Inc.

  • Podiatric Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1902695638
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
JUSTIN A LUU, DPM INC.
Practice address
14360 Brookhurst St
Garden Grove, CA 92843-4608
Phone
(714) 531-9682
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Justin Anh-Khoa Luu, DPMNPI 1629716311
Title
Officer/Director
Phone
(858) 735-0861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X NU Primary

Addresses

Primary practice location

14360 Brookhurst St
Garden Grove, CA 92843-4608

Mailing address

16364 Pinto Ridge CT
San Diego, CA 92127-3429
Phone (858) 735-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250918000764 CA Part B Supplier - Clinic/Group Practice 6204330723 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1902695638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16364 PINTO RIDGE CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273429",
            "telephone_number": "858-735-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434608",
            "telephone_number": "714-531-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN A LUU, DPM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ANH-KHOA",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "858-735-0861",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 30, 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.

Verify at the official NPI Registry.