Individual provider Active NPI

Dzuy Luu, PA-C

  • Physician Assistant
  • La Puente, CA
National Provider Identifier
1912284795
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1337 Issued in NV
Practice address
1840 N Hacienda Blvd Ste 12
La Puente, CA 91744-1143
Phone
(435) 999-9020
NPI assigned
Nov 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA1337 NV Primary

Addresses

Primary practice location

1840 N Hacienda Blvd Ste 12
La Puente, CA 91744-1143

Mailing address

4600 El Camino Cabos Dr
Las Vegas, NV 89147-8110
Phone (702) 434-8880

Other practice location 1

3750 S Jones Blvd Ste 120
Las Vegas, NV 89103-2209
Phone (702) 434-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120507000304 NV Practitioner - Physician Assistant 5799947834 Reassigns benefits to 2 organizations
I20180208002480 UT Practitioner - Physician Assistant 5799947834 Reassigns benefits to 2 organizations
I20220301000444 CA Practitioner - Physician Assistant 5799947834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chanukya Dasari MD a Professional CorporationGroup PAC ID 8224526173, 11 clinicians

Practice addresses (Care Compare)

La Puente, CA 91744
Phone (916) 848-5412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1337NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chanukya Dasari MD a Professional Corporation CurrentSince Sep 29, 2025 Accepting new patients
Dzuy Luu PLLC Physician Assistant CurrentSince May 27, 2025 Accepting new patients
Advanced House Calls Inc PastSince Dec 15, 2003 Accepting new patients
A Better Option Healthcare Inc PastSince Mar 12, 2018 Accepting new patients

Locations

1840 N Hacienda Blvd
Ste 12
La Puente, CA 91744
Phone (626) 541-0021

710 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 528-6478

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1912284795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 EL CAMINO CABOS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478110",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N HACIENDA BLVD STE 12",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441143",
            "telephone_number": "435-999-9020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 S Jones Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891032209",
            "country_code": "US",
            "telephone_number": "702-434-8880",
            "fax_number": "702-862-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUU",
        "first_name": "DZUY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.