Individual provider Active NPI

Garlan G. Lo, M.D.

  • Ophthalmology Physician
  • Hacienda Heights, CA
National Provider Identifier
1043276140
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G57913 Issued in CA
Practice address
1850 S Azusa Ave
Ste 107
Hacienda Heights, CA 91745-6813
Phone
(626) 912-6888
Fax
(626) 913-9281
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G57913 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave
Ste 107
Hacienda Heights, CA 91745-6813

Mailing address

1850 S Azusa Ave
Ste 107
Hacienda Heights, CA 91745-6813
Phone (626) 912-6888

Other identifiers 1

IdentifierTypeStateIssuer
00G579130MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000753 CA Practitioner - Ophthalmology 1658308663 Reassigns benefits to 1 organization
Practice locations: Hacienda Heights, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
National College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puente Hills Eye Care Center, Inc.Group PAC ID 3870765647, 3 clinicians

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 107
Hacienda Heights, CA 91745-6827
Phone (626) 912-6888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Puente Hills Eye Care Center, Inc. Ophthalmology CurrentSince Jan 1, 2010 Accepting new patients
White Memorial Medical Center Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

1850 S Azusa Ave
Ste 107
Hacienda Hts, CA 91745
Phone (626) 812-6888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1043276140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "STE 107",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-912-6888",
            "fax_number": "626-913-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE",
            "address_2": "STE 107",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456813",
            "telephone_number": "626-912-6888",
            "fax_number": "626-913-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "GARLAN",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G57913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G579130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.