Individual provider Active NPI

Deborah Dee Lu, MD

  • Nephrology Physician
  • Hacienda Heights, CA
National Provider Identifier
1992264709
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
179848 Issued in CA
Practice address
1850 S Azusa Ave Ste 306
Hacienda Heights, CA 91745-6854
Phone
(626) 913-2055
Fax
(626) 913-2085
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 179848 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave Ste 306
Hacienda Heights, CA 91745-6854

Mailing address

1850 S Azusa Ave Ste 306
Hacienda Heights, CA 91745-6854
Phone (626) 913-2055

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
I20241107004020 CA Practitioner - NephrologyPractitioner - Internal Medicine 9133504715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Kentucky College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 306
Hacienda Heights, CA 91745-6854
Phone (626) 913-2055

Hospital & facility affiliations

  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179848CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah D Lu MD, PC CurrentSince Aug 27, 2024 Accepting new patients

Locations

1850 S Azusa Ave
Ste 306
Hacienda Hts, CA 91745
Phone (626) 824-9772

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1992264709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 306",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456854",
            "telephone_number": "626-913-2055",
            "fax_number": "626-913-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 306",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456854",
            "telephone_number": "626-913-2055",
            "fax_number": "626-913-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "DEBORAH",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "179848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.