Individual provider Active NPI

Aiko Loo, RN, NP-C

  • Family Nurse Practitioner
  • San Leandro, CA
National Provider Identifier
1023318730
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19651 Issued in CA
Practice address
13939 E 14TH St Ste 180
San Leandro, CA 94578-2601
Phone
(510) 263-3300
Fax
(510) 263-3350
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19651 CA Primary

Addresses

Primary practice location

13939 E 14TH St Ste 180
San Leandro, CA 94578-2601

Mailing address

13939 E 14TH St Ste 180
San Leandro, CA 94578-2601
Phone (510) 263-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161101002661 CA Practitioner - Nurse Practitioner 5991083537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

2182 E St
Concord, CA 94520-2012
Phone (925) 685-4228

5709 Market St
Suite 100
Oakland, CA 94608-2811
Phone (925) 685-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
19651CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jiva Health, Inc CurrentSince Apr 1, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

5173 Lone Tree Way
Antioch, CA 94531
Phone (925) 685-4228

141 Sand Creek Rd
Ste B
Brentwood, CA 94513
Phone (925) 626-7483

2182 East St
Concord, CA 94520
Phone (925) 392-4731

1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002

5709 Market St
Ste 100
Oakland, CA 94608
Phone (510) 654-4206

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

2300 Bell Executive Ln
Sacramento, CA 95825
Phone (615) 327-6611

2001 Union St
Ste 250
San Francisco, CA 94123
Phone (415) 359-9999

13939 E 14th St
Ste 180
San Leandro, CA 94578
Phone (510) 263-3300

2601 Nut Tree Rd
Ste B
Vacaville, CA 95687
Phone (707) 446-2762

Interoperability endpoints

  • Direct secure messaging: aloo166959@hpmg.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1023318730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 180",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-263-3300",
            "fax_number": "510-263-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 180",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-263-3300",
            "fax_number": "510-263-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "AIKO",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.