Active NPI
Jaime Raul Luna, PA-C
- Physician Assistant
- Santa Ana, CA
National Provider Identifier
1962615369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14347
- Practice address
- 2650 S Bristol St
Suite 101
Santa Ana, CA 92704-5751 - Phone
- (714) 754-1444
- Fax
- (714) 754-7009
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14347 | CA | Primary |
Addresses
Primary practice location
2650 S Bristol St
Suite 101
Santa Ana, CA 92704-5751
Mailing address
10789 Slater Ave
Fountain Valley, CA 92708-3931
Phone (714) 964-0533
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14347 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jaime.luna.p4@direct.scpeds.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1962615369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10789 SLATER AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083931",
"telephone_number": "714-964-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 S BRISTOL ST",
"address_2": "SUITE 101",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045751",
"telephone_number": "714-754-1444",
"fax_number": "714-754-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "JAIME",
"middle_name": "RAUL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "14347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.