Active NPI
Esther Y Lo, N.P.
- Nurse Practitioner
- Colton, CA
National Provider Identifier
1053340562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10381
- Practice address
- 1181 N Mount Vernon Ave
Colton, CA 92324-2574 - Phone
- (909) 498-2356
- Fax
- (877) 824-9080
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10381 | CA | Primary |
Addresses
Primary practice location
1181 N Mount Vernon Ave
Colton, CA 92324-2574
Mailing address
200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (909) 498-2356
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EFF.10/21/13-COLTON | Medicaid | CA | |
| EFF 2/20/13 RIALTO | Medicaid | CA | |
| EFF. 5/17/13-SAN BER | Medicaid | CA | |
| P01282960/DU4034 | Other | CA | RAILROAD MEDICARE |
| EFF.4/23/13-MORENOVA | Medicaid | CA | |
| EFF.4/23/13-N.RIVERS | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Molina Healthcare of California | Past | Accepting new patients | |
| Pinnacle Medical Group, Inc. | Past | Accepting new patients |
Locations
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
Organizations & group practices 5
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.
-
dba San Manuel Indian Health
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
dba Santa Rosa Indian Health Clinic
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1841305075
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1447292248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1053340562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "909-498-2356",
"fax_number": "877-824-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 N MOUNT VERNON AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923242574",
"telephone_number": "909-498-2356",
"fax_number": "877-824-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "ESTHER",
"middle_name": "Y",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "10381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EFF.10/21/13-COLTON",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EFF 2/20/13 RIALTO",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EFF. 5/17/13-SAN BER",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01282960/DU4034",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EFF.4/23/13-MORENOVA",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EFF.4/23/13-N.RIVERS",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.