NGOC-ANH LUU TA NPI 1316407109

NPI Information

  • NPI: 1316407109
  • Provider Name: NGOC-ANH LUU TA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 275 BRONSON WAY NE
    RENTON, WA
    ZIP 98056
  • Phone: (425) 235-2800

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NPI Details

Ngoc-anh Luu Ta is a family medicine in Renton, WA with 7 years of experience. The provider is 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. Ngoc-anh Luu Ta NPI is 1316407109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

275 BRONSON WAY NE
RENTON, WA
ZIP 98056-030
Phone: (425) 235-2800
Fax: (877) 516-9184

The NPI 1316407109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 10/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryMD61196961WASHINGTONNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207Q00000XFamily MedicineMD61196961WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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