Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Fan Lu, FNP-C

Individual provider Family Medicine Physician · NPI 1043796402

Jonathan Fan Lu, FNP-C is a Nurse Practitioner in Tustin, California. Qualified in 2018, 8 years ago. Practices with Hoag Clinic, a 443-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

15000 Kensington Park Dr Ste 250
Tustin, CA 92782-1835
Phone: (714) 477-8320
Fax: (714) 477-8321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 95009811 (CA)

Record details

NPI number1043796402
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJuly 18, 2018
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address15000 Kensington Park Dr Ste 250, Tustin, CA 92782-1835

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hoag Clinic — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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