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

Kelley Lu

Individual provider Physician Assistant · NPI 1285256545

Kelley Lu is a Physician Assistant in Glendora, California. Qualified in 2021, 5 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

645 N Wildwood Ave
Glendora, CA 91741-1970
Phone: (626) 321-5398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59806 (CA)
Physician Assistant Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1285256545
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 9, 2020
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021
Mailing address645 N Wildwood Ave, Glendora, CA 91741-1970

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Glendora