Individual provider Active NPI

Kuanchang Lu, D.O.

  • Family Medicine Physician
  • Hacienda Heights, CA
National Provider Identifier
1972044295
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A18431 Issued in CA
Practice address
1850 S Azusa Ave Ste 201
Hacienda Heights, CA 91745-6854
Phone
(626) 913-2383
Fax
(626) 913-2013
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A18431 CA Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X DO2695 NV

Addresses

Primary practice location

1850 S Azusa Ave Ste 201
Hacienda Heights, CA 91745-6854

Mailing address

1850 S Azusa Ave Ste 201
Hacienda Heights, CA 91745-6854
Phone (626) 913-2383

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914003727 CA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 4587935416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
E Lin, DO, Inc.Group PAC ID 3375920549, 3 clinicians

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 201
Hacienda Heights, CA 91745-6854
Phone (626) 965-8202

622 W Duarte Rd
Suite 306
Arcadia, CA 91007-9282
Phone (626) 965-8202

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18431CAMDClinical Social Worker
20A18431CAMDFamily Medicine Physician
DO2695NVMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Aug 16, 2021 Accepting new patients
E Lin, DO, Inc. Family Medicine CurrentSince Sep 3, 2024 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Edlin Health & Company Family Medicine PastSince Mar 13, 2024 Accepting new patients
Kuancheng Chen MD Corp PastSince May 3, 2010 Accepting new patients

Locations

622 W Duarte Rd
Ste 306
Arcadia, CA 91007
Phone (626) 821-9075

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1850 S Azusa Ave
Ste 201
Hacienda Heights, CA 91745
Phone (626) 913-2383

1617 S Azusa Ave
Hacienda Heights, CA 91745
Phone (626) 913-2383

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: klu196774@direct.renown.org
  • Direct secure messaging: kuanchang.lu@670047051579396.direct.elationemr.com

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": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1972044295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 201",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456854",
            "telephone_number": "626-913-2383",
            "fax_number": "626-913-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 201",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456854",
            "telephone_number": "626-913-2383",
            "fax_number": "626-913-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "KUANCHANG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A18431",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NV",
            "license": "DO2695",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.