JESUS LUA (M.D.) – Family Medicine Physician, NPI 1992776108

JESUS LUA (M.D.) is a healthcare provider. based in Upland, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A50698 (CA). The NPI Number for JESUS LUA (M.D.) is 1992776108

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
JESUS LUA (M.D.)
NPI
1992776108
Phone
(909) 985-5784
Address
360 E 7TH ST
Enumeration Date
27 January 2006
Last Update Date
19 March 2012

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9099855784
Graduation Year
1990 (36 years ago)
PAC ID
2961591326
Professional Enrollment ID
I20071207000703
Address ID
CA917866701UP360XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for JESUS LUA (M.D.)

  • 360, East 7th Street, North Ontario, Upland, San Bernardino County, California, 91786, United States

    SUITE A

    UPLAND, CA 917866701

    Phone: (909) 985-5784

    Fax: (909) 985-7844

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071207000703IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes14864$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
G0444Annual depression screening, 5 to 15 minutes4545$0
G0008Administration of influenza virus vaccine1111$0
View full utilization report →

Insurance plans in this area (ZIP 91786)

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Reviews

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Frequently asked questions

What federal number belongs to JESUS LUA (M.D.)?
The federal identifier for JESUS LUA (M.D.) is NPI 1992776108.
Does this profile mean JESUS LUA (M.D.) is currently active?
Yes — JESUS LUA (M.D.) appears active in the national provider directory.
What field does JESUS LUA (M.D.) work in?
You can think of JESUS LUA (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JESUS LUA (M.D.)?
The snapshot lists Upland, California for JESUS LUA (M.D.); download NPPES for the complete set.
Is JESUS LUA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1992776108. Always confirm identity and privileges with the practice and licensing boards.

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