Active NPI
Anh-Thu Jessica Luu, DPM
- Podiatrist
- La Mirada, CA
National Provider Identifier
1962481036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4343
- Practice address
- 15038 Imperial Highway
La Mirada, CA 90638-1301 - Phone
- (562) 947-8200
- Fax
- (562) 947-8233
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4343 | CA | Primary |
Addresses
Primary practice location
15038 Imperial Highway
La Mirada, CA 90638-1301
Mailing address
PO Box 50432
Irvine, CA 92619-0432
Phone (562) 947-8200
Other names 1
- Jessica Luu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4343 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter D Dang DPM Inc | Podiatrist | Past | Accepting new patients |
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.
-
- Podiatrist
- La Mirada, CA
- NPI 1275513939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1962481036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50432",
"city": "IRVINE",
"state": "CA",
"postal_code": "926190432",
"telephone_number": "562-947-8200",
"fax_number": "562-947-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15038 IMPERIAL HIGHWAY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381301",
"telephone_number": "562-947-8200",
"fax_number": "562-947-8233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "ANH-THU",
"middle_name": "JESSICA",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "LUU",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.