Active NPI
Yen Hong Luu, P.A.
- Medical Physician Assistant
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5301
- Practice address
- 4630 S Lakeshore Dr
Apt 105
Tempe, AZ 85282-7164 - Phone
- (623) 297-9822
- NPI assigned
- Nov 20, 2012
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5301 | AZ | Primary |
Addresses
Primary practice location
4630 S Lakeshore Dr
Apt 105
Tempe, AZ 85282-7164
Mailing address
4630 S Lakeshore Dr
Apt 105
Tempe, AZ 85282-7164
Phone (623) 297-9822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10240 N 43Rd Ave
Suite 3
Glendale, AZ 85302-2044
Phone (623) 742-2060
1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130
1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800
20236 N John Wayne Pkwy
Suite 100
Maricopa, AZ 85139-2911
Phone (520) 518-7510
2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411
3229 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4508
Phone (602) 788-3285
535 E McKellips Rd
Suite 101
Mesa, AZ 85203-2525
Phone (480) 844-7400
600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560
7230 W Ray Rd
Suite 10
Chandler, AZ 85226-1531
Phone (623) 888-6359
914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382
9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5301 | AZ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 19TH Avenue Clinic LLC | Past | Accepting new patients |
Interoperability endpoints
- yen.luupac.p1@direct.nextcare.nextgenshare.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Family Nurse Practitioner
- Buckeye, AZ
- NPI 1023216249
-
- Urgent Care Clinic/Center
- Mesa, AZ
- NPI 1053667709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1972847598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 S LAKESHORE DR",
"address_2": "APT 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827164",
"telephone_number": "623-297-9822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 S LAKESHORE DR",
"address_2": "APT 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827164",
"telephone_number": "623-297-9822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "YEN",
"middle_name": "HONG",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "5301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.