LUCY GONG MD
NPI 1689917080
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lucy Gong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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.
Which organization bills Medicare for Lucy Gong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucy Gong reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Lucy Gong'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 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.
# Lucy Gong, MD · NPI 1689917080
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 3, 2013.
## Identity
- **NPI:** 1689917080 (Entity type: Individual)
- **Enumerated:** April 3, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, CT-A7D, Los Angeles, CA 90089-1001
- **Phone:** (323) 226-7556 · **Fax:** (323) 226-2657
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** December 16, 2021
- **Other identifiers:** Other LG3232267556
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Source: [NPI Profile](https://npiprofile.com/npi/1689917080) · Data from the CMS NPPES public registry.