JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION (NPI# 1497955132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497955132 |
| Entity Type | Organization |
| Organization Name | JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
360 E 7th St Suite A Upland CA 91786-6701 |
| Practice Telephone | 9099855784 |
| Practice Fax Number | 9099857844 |
| Mailing Telephone | 9099855784 |
| Mailing Fax Number | 9099857844 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2011-12-05 |
| Authorized Official Name | JESUS LUA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 9099855784 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A50698 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | INDIVIDUAL NPI | 1992776108 | 01 |
| CA | 00A506980 | 05 |
| Street Address |
360 E 7TH ST SUITE A |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420416 | Naveen Gupta Md Inc | Internal Medicine | 360 E 7th St, Ste B, Upland, CA 91786-6701 | 2006-01-07 |
| 1801368238 | Isabel Perez Ferreruela, Dds, Inc | Dentist | 360 E 7th St, Upland, CA 91786 | 2018-12-25 |
| 1801283916 | Mario A Diaz-gomez, M.d., A Professional Corporation | Family Medicine | 360 E 7th St, Suite D, Upland, CA 91786-6701 | 2015-04-16 |
| 1124270129 | Richard Y. Kunihira, D.d.s., Inc. | Dentist | 360 E 7th St, Suite J, Upland, CA 91786-6701 | 2008-10-21 |
| 1811023021 | Najy Nabil Abifadel | Pharmacist | 360 E 7th St, Suite F, Upland, CA 91786-6701 | 2007-02-24 |
| 1144369240 | Adriana Valdillez | Pharmacy Technician | 360 E 7th St, Suite F, Upland, CA 91786-6701 | 2007-02-05 |
| 1790895845 | Chang Tsai Lin | Pediatrics | 360 E 7th St, Suite H, Upland, CA 91786-6701 | 2006-08-30 |
| 1992733323 | Deepak V Sheth | Urology | 360 E 7th St, #c, Upland, CA 91786 | 2006-06-28 |
| 1427003300 | Mario A Diaz-gomez | Family Medicine | 360 E 7th St, Suite D, Upland, CA 91786-6701 | 2006-05-22 |
| 1639141278 | Renie Ansay Ramos | Pediatrics | 360 E 7th St, Suite N, Upland, CA 91786-6701 | 2006-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851370928 | Vichien K Karnavy | General Practice | 300 E 7th St, Suite 2 E, Upland, CA 91786 | 2006-01-17 |
| 1326683582 | Wendy Karina Barreto II | General Practice | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-11-12 |
| 1023360807 | F Jimenez Medical Corporation | General Practice | 308 N 2nd Ave, Upland, CA 91786-8325 | 2012-10-04 |
| 1790015683 | Daryl Caringi D.o. A Medical Corporation | General Practice | 984 W Foothill Blvd, Upland, CA 91786-3700 | 2009-12-28 |
| 1730361544 | Jhujhar Singh | General Practice | 914 W Foothill Blvd, Suite A, Upland, CA 91786-3785 | 2007-12-04 |
| 1902019672 | Douglas J Beseth Md A Medical Corporation | General Practice | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2007-05-08 |
| 1336259720 | Douglas J Beseth | General Practice | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2006-08-30 |
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| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.