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LUIS A LA LUZ MD
NPI 1962602029
Family Medicine in San Diego, CA

Active since July 18, 2007PECOS Enrolled
4405 VANDEVER AVE, SAN DIEGO, CA 92120(619) 528-5000(626) 405-6768 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Luis A La Luz Md NPPES

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

LUIS A LA LUZ MD (NPI 1962602029) is an individual family medicine provider in San Diego, California, licensed in California (G43238) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962602029
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUIS A LA LUZCredential: MD
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address393 E Walnut St, 3rd Floor - Phr SystemsPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 405-6768
Phone(619) 528-5000
Fax(626) 405-6768
Sole ProprietorNo
Enumeration DateJuly 18, 2007
Last NPPES UpdateNovember 29, 2021
✔ NPI 1962602029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G43238
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4405 VANDEVER AVE, San Diego, CA 92120
Open in Google Maps ↗

Other Identifiers 1

Other00G432380CA · Medical Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis A La Luz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Luis La Luz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.4 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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 20

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

MADELINE C SERAFINE CNM
Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
MICHAEL L. BONIN MD
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
HEIDEMARIE DREGER CRNA
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
GILBERT B. GREEN MD
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
THOMAS LOHNER MD
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. PHILIP HYUNWOO KIM M.D.
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JOANNE HAY-LING WONG M.D.
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (833) 574-2273
JAMES MICHAEL KELLY MD
Family Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

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 Luis La Luz's NPI number?

The NPI number for Luis La Luz is 1962602029. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Luis La Luz located?

Luis La Luz practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Luis La Luz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Luis La Luz enrolled in Medicare?

Yes. Luis La Luz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis La Luz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis La Luz reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, 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 Luis La Luz'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 Luis La Luz was last updated on November 29, 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.