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LUU MEDICAL GROUP
NPI 1578774253
Specialist in Vallejo, CA

Active since May 24, 2007
2920 SONOMA BLVD STE C, VALLEJO, CA 94590(707) 643-0400(707) 643-0470 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Luu Medical Group NPPES

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

LUU MEDICAL GROUP (NPI 1578774253) is a healthcare organization registered as a specialist in Vallejo, California and active in the NPI registry since May 2007. The organization lists Michael C Luu, President, as its authorized official.

NPPES Registry Identity

NPI1578774253
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLUU MEDICAL GROUP
Location Address2920 SONOMA BLVD STE CVallejo, CA 94590-3879
Mailing Address2920 Sonoma Blvd Ste CVallejo, CA 94590-3879 · (707) 643-0400 · Fax (707) 643-0470
Phone(707) 643-0400
Fax(707) 643-0470
Organization SubpartNo
Authorized OfficialMichael C LuuPresident · (707) 643-0400
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1578774253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · 20A7354
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedChiropractorTaxonomy 111N00000X · License DC26223 (CA)
2920 SONOMA BLVD STE C, Vallejo, CA 94590
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luu Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050218000778Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Luu Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Luu, D.O.
Critical Care (Intensivists)
NPI 1235244146
2920 SONOMA BLVD SUITE C
Vallejo, CA 94590
(707) 643-0400
✔ PECOSSame address

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

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 Luu Medical Group's NPI number?

The NPI number for Luu Medical Group is 1578774253. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Luu Medical Group located?

Luu Medical Group is located at 2920 Sonoma Blvd Ste C, Vallejo, CA 94590. The listed phone number is (707) 643-0400.

What is Luu Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Luu Medical Group enrolled in Medicare?

Yes. Luu Medical Group is registered in the Medicare PECOS enrollment system.

When is Luu Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Luu Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Critical Care (Intensivists)) reassigns their Medicare billing to Luu Medical Group. 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.

When was this NPI record last updated?

The NPPES record for Luu Medical Group was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.