Active NPI
Cheng Luo, NP
- General Practice Physician
- Glendale, CA
National Provider Identifier
1922589670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- NP95010581
- Practice address
- 1106 W Glenoaks Blvd
Glendale, CA 91202-2606 - Phone
- (818) 242-3333
- Fax
- (818) 552-2722
- NPI assigned
- Aug 21, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NP95010581 | CA | Primary |
Addresses
Primary practice location
1106 W Glenoaks Blvd
Glendale, CA 91202-2606
Mailing address
PO Box 5068
Glendale, CA 91221-2068
Phone (818) 242-3333
Other practice location 1
4225 Tweedy Blvd
Alhambra, CA 91803
Phone (502) 693-3726
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95010581 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenoaks Urgent Care Medical Group, Inc. | General Practice | Current | Accepting new patients |
Locations
1100 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 242-3333
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1013097120
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1922589670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5068",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912212068",
"telephone_number": "818-242-3333",
"fax_number": "323-564-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 W GLENOAKS BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912022606",
"telephone_number": "818-242-3333",
"fax_number": "818-552-2722"
}
],
"practiceLocations": [
{
"address_1": "4225 Tweedy Blvd",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "91803",
"country_code": "US",
"telephone_number": "502-693-3726",
"fax_number": "323-564-8570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUO",
"first_name": "CHENG",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "NP95010581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.