DR. CHARLES LU (NPI# 1275796963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275796963 |
| Entity Type | Individual |
| Full Name | DR. CHARLES LU |
| Credential | MD |
| Practice Address |
10800 Magnolia Ave Southern Cal Permanente Medical Group, Cardiology Dept Riverside CA 92505-3043 |
| Practice Telephone | 8587175294 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A91549 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A91549 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104189414 | Charles Lu | Emergency Medicine | 3440 E La Palma Ave, Anaheim, CA 92806-2020 | 2012-06-21 |
| 1245487313 | Charles C Lu | Dentist | 837 58th St, 6th Floor, Brooklyn, NY 11220-3662 | 2008-08-20 |
| 1457409435 | Charles I. Lu | Internal Medicine | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2007-01-08 |
| 1487740551 | Charles Lu | Internal Medicine | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-10-05 |
| Street Address |
10800 MAGNOLIA AVE SOUTHERN CAL PERMANENTE MEDICAL GROUP, CARDIOLOGY DEPT |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352783 | Patrick Joseph S Alix | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2005-08-09 |
| 1306451885 | Tina Marsina Menedjian | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-09-11 |
| 1346859246 | Christina Marie Stephenson | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-07-27 |
| 1669095329 | Alvin Fong | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-05-28 |
| 1114555810 | Michelle Eunbi Ko | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-29 |
| 1821625062 | Christopher Mark Bradburne | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-26 |
| 1740817659 | Lauren Khan | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-23 |
| 1841826781 | Jessica Sherly Gurning | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1912533852 | Robert Yousif | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
| 1770119323 | Erika Layne | Dietitian, Registered | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558414953 | Blackstone Medical Corporation | Internal Medicine | 4500 Brockton Ave Ste 305, Riverside, CA 92501-4027 | 2007-01-19 |
| 1518970755 | Mimi Sen Biswas | Internal Medicine | 3975 Jackson St Ste 309, Riverside, CA 92503-3951 | 2006-08-15 |
| 1720021397 | Jatin N. Amin | Internal Medicine | 3770 Elizabeth St, Riverside, CA 92506-2527 | 2006-06-13 |
| 1619918943 | Syed W Bokhari | Internal Medicine | 4646 Brockton Ave Ste 301, Riverside, CA 92506-0103 | 2006-06-09 |
| 1770524290 | Ramdas G. Pai | Internal Medicine | 3390 University Ave Ste 100, Riverside, CA 92501-3315 | 2006-06-08 |
| 1073896544 | Georges Abou Rjaili | Internal Medicine | 4500 Brockton Ave, Ste 203, Riverside, CA 92501-4090 | 2011-09-21 |
| 1124331012 | Sandeep Chandu Sangodkar | Internal Medicine | 3770 Elizabeth St, Riverside, CA 92506-2527 | 2010-07-20 |
| 1639490824 | Nirav D Joshi | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2010-06-22 |
| 1255561726 | Matei Popa-radu | Internal Medicine | 4646 Brockton Ave Ste 301, Riverside, CA 92506 | 2009-07-19 |
| 1306030242 | Christopher Byerrum Seaman | Internal Medicine | 3770 Elizabeth St, Riverside, CA 92506-2527 | 2007-09-04 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.