LUCY GONG MD
NPI 1689917080
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, CT-A7D, LOS ANGELES, CA 90089(323) 226-7556(323) 226-2657 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lucy Gong Md NPPES

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

LUCY GONG MD (NPI 1689917080) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2013).

NPPES Registry Identity

NPI1689917080
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLUCY GONGCredential: MD
Location Address1200 N STATE ST, CT-A7DLos Angeles, CA 90089-1001
Mailing Address1200 N State St, Ct-a7dLos Angeles, CA 90089-1001 · (323) 226-7556 · Fax (323) 226-2657
Fax(323) 226-2657
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateDecember 16, 2021
NPI 1689917080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089

Other Identifiers 1

OtherLG3232267556Other

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lucy Gong Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486932266
PECOS Enrollment IDI20161028001862
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.

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Dermatology
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089

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 Lucy Gong's NPI number?

The NPI number for Lucy Gong is 1689917080. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Lucy Gong located?

Lucy Gong practices at 1200 N State St Ct-A7d, Los Angeles, CA 90089. The listed phone number is (323) 226-7556.

What is Lucy Gong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lucy Gong enrolled in Medicare?

Yes. Lucy Gong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lucy Gong was last updated on December 16, 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.