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DIANA LUC
NPI 1669172938
Dentist - Pediatric Dentistry in San Diego, CA

Active since March 06, 2023PECOS Enrolled
4050 BEYER BLVD, SAN DIEGO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Mar 6, 2023 (2 updates tracked since 2023).

About Diana Luc NPPES

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

DIANA LUC (NPI 1669172938) is an individual pediatric dentistry provider in San Diego, California, licensed in California (112134) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Nevada School Of Medicine (2023).

NPPES Registry Identity

NPI1669172938
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDIANA LUC
Location Address4050 BEYER BLVDSan Diego, CA 92173-2007
Mailing Address5588 Kalanianaole HwyHonolulu, HI 96821-2048
Phone(619) 662-4100
Sole ProprietorYes
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2023
Enumeration DateMarch 6, 2023
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
✔ NPI 1669172938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CA · 112134✔ Licensed in WA · DE70069805
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4050 BEYER BLVD, San Diego, CA 92173
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18110 Birmingham WaySan Diego, CA 92123-2758 · Phone (619) 662-4100
Location 2669 Woodland Square Loop SELacey, WA 98503-1038 · Phone (360) 359-4860 · Fax (360) 359-4861

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Luc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466940952
PECOS Enrollment IDI20251025000201
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 8

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

DR. REGINA MARIE JAVIER DMD
Dentist
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
MS. KELLEY ALEXIS BUTLER MD, MPH
Family Medicine
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CHANMEE PRAISE SEO MD
Family Medicine
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. JONATHAN DANIEL MILLS DDS
Dentist (Pediatric Dentistry)
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
MIGUEL ALVAREZ-ESTRADA M.D., M.B.A.
Family Medicine
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
ANDRES ALONSO GOMEZ GARZA MD
Pediatrics
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
ELISSA KIM SULLIVAN MD
Pediatrics
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100

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 Diana Luc's NPI number?

The NPI number for Diana Luc is 1669172938. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Diana Luc located?

Diana Luc practices at 4050 Beyer Blvd, San Diego, CA 92173. The listed phone number is (619) 662-4100.

What is Diana Luc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Diana Luc enrolled in Medicare?

Yes. Diana Luc is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diana Luc was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.