LOAN THUY LU
NPI 1619234515
Pediatrics in Redlands, CA
About Loan Thuy Lu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOAN THUY LU (NPI 1619234515) is an individual pediatrics provider in Redlands, California, licensed in California (A128110) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Loan Thuy Lu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Loan Lu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 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 92374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
REDLANDS, CA 92374
REDLANDS, CA 92374
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 Loan Lu's NPI number?
The NPI number for Loan Lu is 1619234515. It was assigned to this individual provider in the NPPES registry on April 16, 2012.
Where is Loan Lu located?
Loan Lu practices at 1301 California St, Redlands, CA 92374. The listed phone number is (909) 809-3000.
What is Loan Lu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Loan Lu enrolled in Medicare?
Yes. Loan Lu is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Loan Lu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loan Lu reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Loan Lu'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 Loan Lu was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Loan Thuy Lu · NPI 1619234515
Pediatrics physician in Redlands, California. Individual provider, active in the CMS NPPES registry since April 16, 2012.
## Identity
- **NPI:** 1619234515 (Entity type: Individual)
- **Enumerated:** April 16, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A128110 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 CALIFORNIA ST, Redlands, CA 92374-2910
- **Phone:** (909) 809-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1619234515) · Data from the CMS NPPES public registry.