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JOHNNY LUU M.D
NPI 1508919929
Pediatrics in Costa Mesa, CA

Active since January 19, 2007PECOS Enrolled
1190 BAKER ST, 100, COSTA MESA, CA 92626(714) 668-2540(714) 668-2510 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2023, Nov 29, 2021 (2 updates tracked since 2021).

About Johnny Luu M.d NPPES

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

JOHNNY LUU M.D (NPI 1508919929) is an individual pediatrics provider in Costa Mesa, California, licensed in California (A90179) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508919929
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHNNY LUUCredential: M.D
Location Address1190 BAKER ST, 100Costa Mesa, CA 92626-4108
Mailing Address1190 Baker St, P.o Box 100Costa Mesa, CA 92626-4108 · (714) 668-2540 · Fax (714) 668-2510
Phone(714) 668-2540
Fax(714) 668-2510
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1508919929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A90179
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1190 BAKER ST, Costa Mesa, CA 92626
Open in Google Maps ↗

Other Identifiers 1

OtherA90179CA · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnny Luu M.d 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 Johnny Luu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
13 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

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 92626 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.

Other Providers at the Same Location NPPES 11

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

URGIKIDS
Pediatrics
1190 BAKER ST, 100
COSTA MESA, CA 92626
Orange County (714) 668-2540
JENNIFER RODRIGUEZ M.D
Pediatrics
1190 BAKER ST, 103
COSTA MESA, CA 92626
Orange County (714) 668-2525
PRASHANTI ALEKAL M.D
Pediatrics
1190 BAKER ST, 100
COSTA MESA, CA 92626
Orange County (714) 668-2540
MARY MARTINEZ P.T.
Physical Therapist
1190 BAKER ST
COSTA MESA, CA 92626
Orange County (714) 979-3500
JOY DECICCO P.T.
Physical Therapist
1190 BAKER ST, 105
COSTA MESA, CA 92626
Orange County (714) 979-3500
LAUREN HALLOREN P.T.
Physical Therapist
1190 BAKER ST, 105
COSTA MESA, CA 92626
Orange County (714) 979-3500
FLORIZZA QUILALA M.D
Pediatrics
1190 BAKER ST, SUITE 100
COSTA MESA, CA 92626
Orange County (714) 668-2540
SARAH O'LOUGHLIN M.D
Pediatrics
1190 BAKER ST, 100
COSTA MESA, CA 92626
Orange County (714) 668-2540

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 Johnny Luu's NPI number?

The NPI number for Johnny Luu is 1508919929. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Johnny Luu located?

Johnny Luu practices at 1190 Baker St 100, Costa Mesa, CA 92626. The listed phone number is (714) 668-2540.

What is Johnny Luu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Johnny Luu enrolled in Medicare?

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

Which organization bills Medicare for Johnny Luu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Luu reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Johnny Luu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Johnny Luu was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.