JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION
NPI 1497955132
General Practice in Upland, CA
About Jesus Lua, Md, A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESUS LUA, MD, A PROFESSIONAL MEDICAL CORPORATION (NPI 1497955132) is a healthcare organization registered as a general practice in Upland, California and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through July 6, 2027 and lists Jesus Lua, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesus Lua, Md, A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jesus Lua, MD, A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0705228
Jesus Lua MD, A Professional Medical Corp · Upland, CAFrequently 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 Jesus Lua, MD, A Professional Medical Corporation's NPI number?
The NPI number for Jesus Lua, MD, A Professional Medical Corporation is 1497955132. It was assigned to this organization in the NPPES registry on July 20, 2007.
Where is Jesus Lua, MD, A Professional Medical Corporation located?
Jesus Lua, MD, A Professional Medical Corporation is located at 360 E 7th St Suite A, Upland, CA 91786. The listed phone number is (909) 985-5784.
What is Jesus Lua, MD, A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Jesus Lua, MD, A Professional Medical Corporation enrolled in Medicare?
Yes. Jesus Lua, MD, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jesus Lua, MD, A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jesus Lua, MD, A Professional Medical Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jesus Lua, MD, A Professional Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0705228) is associated with this NPI, valid through July 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jesus Lua, MD, A Professional Medical Corporation was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jesus Lua, Md, A Professional Medical Corporation · NPI 1497955132
General Practice organization in Upland, California. Organization record, active in the CMS NPPES registry since July 20, 2007.
## Identity
- **NPI:** 1497955132 (Entity type: Organization)
- **Enumerated:** July 20, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jesus Lua, PHYSICIAN/OWNER
## Practice location
- **Address:** 360 E 7TH ST, SUITE A, Upland, CA 91786-6701
- **Phone:** (909) 985-5784 · **Fax:** (909) 985-7844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2011
- **Other identifiers:** Medicaid 00A506980 (CA); Medicare UPIN F74494 (CA); Medicare PIN 00A506981 (CA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1497955132) · Data from the CMS NPPES public registry.