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JONATHAN FAN LU FNP-C
NPI 1043796402
Family Medicine in Tustin, CA

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
84.41/100
CMS Quality Rating
15000 KENSINGTON PARK DR STE 250, TUSTIN, CA 92782(714) 477-8320(714) 477-8321 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Mar 30, 2020, Feb 12, 2020 and 1 more (4 updates tracked since 2018).

About Jonathan Fan Lu Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN FAN LU FNP-C (NPI 1043796402) is an individual family medicine provider in Tustin, California, licensed in California (95009811) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043796402
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN FAN LUCredential: FNP-C
Location Address15000 KENSINGTON PARK DR STE 250Tustin, CA 92782-1835
Mailing Address15000 Kensington Park Dr Ste 250Tustin, CA 92782-1835 · (714) 477-8320 · Fax (714) 477-8321
Phone(714) 477-8320
Fax(714) 477-8321
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2018
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1043796402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 95009811
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15000 KENSINGTON PARK DR STE 250, Tustin, CA 92782
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan Fan Lu Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820427560
PECOS Enrollment IDI20200401002173
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
99 services90 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
26 services24 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92782 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.67
Promoting Interoperability100
Improvement Activities40
Cost57.36

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN MINH NGO DO
Family Medicine
15000 KENSINGTON PARK DR STE 250
TUSTIN, CA 92782
Orange County (949) 557-0770
CHARLIE HUANG D.O.
Internal Medicine
15000 KENSINGTON PARK DR STE 250
TUSTIN, CA 92782
Orange County (714) 477-8320
ERIC KHAU MD
Internal Medicine
15000 KENSINGTON PARK DR STE 250
TUSTIN, CA 92782
Orange County (714) 477-8320
RUKHSANA SERANG D.O.
Family Medicine
15000 KENSINGTON PARK DR STE 250
TUSTIN, CA 92782
Orange County (714) 477-8320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Lu's NPI number?

The NPI number for Jonathan Lu is 1043796402. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Jonathan Lu located?

Jonathan Lu practices at 15000 Kensington Park Dr Ste 250, Tustin, CA 92782. The listed phone number is (714) 477-8320.

What is Jonathan Lu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Lu enrolled in Medicare?

Yes. Jonathan Lu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Lu was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.