DR. NHIEN THUY LUU D.D.S.
NPI 1104080167
Dentist - General Practice in Redondo Beach, CA

Active since July 17, 2008PECOS Enrolled
407 N PACIFIC COAST HWY STE 392, REDONDO BEACH, CA 90277(424) 257-0717 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Nhien Thuy Luu D.d.s. NPPES

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

DR. NHIEN THUY LUU D.D.S. (NPI 1104080167) is an individual general practice provider in Redondo Beach, California, licensed in California (48826) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104080167
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NHIEN THUY LUUCredential: D.D.S.
Location Address407 N PACIFIC COAST HWY STE 392Redondo Beach, CA 90277-2872
Mailing Address407 N Pacific Coast Hwy Ste 392Redondo Beach, CA 90277-2872 · (424) 257-0717
Sole ProprietorNo
Enumeration DateJuly 17, 2008
Last NPPES UpdateDecember 7, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1104080167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 48826
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
407 N PACIFIC COAST HWY STE 392, Redondo Beach, CA 90277

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nhien Thuy Luu D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nhien Luu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health
1555 WEST 110TH ST
Los Angeles, CA 90047
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nhien Luu's NPI number?

The NPI number for Nhien Luu is 1104080167. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Nhien Luu located?

Nhien Luu practices at 407 N Pacific Coast Hwy Ste 392, Redondo Beach, CA 90277. The listed phone number is (424) 257-0717.

What is Nhien Luu's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nhien Luu enrolled in Medicare?

Yes. Nhien Luu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nhien Luu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nhien Luu reassigns Medicare benefits to St. Johns Community Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nhien Luu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nhien Luu accept?

Health plans from Humana list Nhien Luu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nhien Luu was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.