Active NPI
Phong Vu Luu, PHARMD
- Pharmacist
- El Monte, CA
National Provider Identifier
1982012118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65065
- Practice address
- 4901 Santa Anita Ave
El Monte, CA 91731-1415 - Phone
- (626) 652-6915
- Fax
- (626) 652-6917
- NPI assigned
- Jul 31, 2014
- Last updated
- Jul 31, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 65065 | CA | Primary |
| Pharmacist | 183500000X | 17937 | NV |
Addresses
Primary practice location
4901 Santa Anita Ave
El Monte, CA 91731-1415
Mailing address
9333 Siskin Ave
Fountain Valley, CA 92708-6553
Phone (714) 757-7976
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65065 | CA | MD | Pharmacist |
| 17937 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sam's West, Inc. | Past | Accepting new patients | |
| Sam's West Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1982012118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9333 SISKIN AVE",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086553",
"telephone_number": "714-757-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 SANTA ANITA AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917311415",
"telephone_number": "626-652-6915",
"fax_number": "626-652-6917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "PHONG",
"middle_name": "VU",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65065",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17937",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.