Individual provider Active NPI

Elaine Lu, DDS

  • Prosthodontics
  • Newhall, CA
National Provider Identifier
1992357602
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DDS102382 Issued in CA
Practice address
25078 Peachland Ave Ste H
Newhall, CA 91321-2555
Phone
(661) 259-3600
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS102382 CA
Prosthodontics 1223P0700X DDS102382 CA Primary

Addresses

Primary practice location

25078 Peachland Ave Ste H
Newhall, CA 91321-2555

Mailing address

400 N Maclay Ave
San Fernando, CA 91340-2417
Phone (818) 361-4084

Other practice location 1

400 N Maclay Ave
San Fernando, CA 91340-2417
Phone (818) 361-4084

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

LicenseStateTypeSpecialty
DDS102382CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Sahawaneh Dental Corporaton CurrentSince Nov 30, 2025 Accepting new patients
Riley Solanki Dental Partnership General Practice CurrentSince Jan 26, 2022 Accepting new patients

Locations

400 N Maclay Ave
San Fernando, CA 91340
Phone (818) 361-4084

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1992357602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MACLAY AVE",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402417",
            "telephone_number": "818-361-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE H",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212555",
            "telephone_number": "661-259-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Maclay Ave",
            "address_purpose": "LOCATION",
            "city": "San Fernando",
            "state": "CA",
            "postal_code": "913402417",
            "country_code": "US",
            "telephone_number": "818-361-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "ELAINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102382",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "DDS102382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.