Arnold Sur-Tsoong Loo, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A4953 Issued in CA

Practice address

490 City Center Drive
Rohnert Park, CA 94928

Phone

(707) 585-7780

Fax

(707) 585-7784

NPI assigned

Jan 7, 2011

Last updated

Jan 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Jewish Community Free Clinic

  • Public Health or Welfare Agency
  • Santa Rosa, CA
  • NPI 1073843819
  NPD (past)
• Jewish Community Free Clinic

  • Primary Care Clinic/Center
  • Rohnert Park, CA
  • NPI 1972807949
  NPD (past)

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1063716918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1008",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947011008",
            "telephone_number": "510-655-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CITY CENTER DRIVE",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "94928",
            "telephone_number": "707-585-7780",
            "fax_number": "707-585-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "ARNOLD",
        "middle_name": "SUR-TSOONG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A4953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifeworks of Sonoma County (lifeworks)
• Yan Feng Lin, RPH
• Rhandee Lipp
• Sarah Ainsley Long, MOTR/L
• Longs Drug Stores California LLC (CVS Pharmacy #09928)
• Stephanie Gabriela Lopez
• Lora Dung Huynh, D.D.S., Inc.
• Grace Loyola
• Arthur C Luethe, D.C.
• Poonlarp Lurslurchachai

• Internal Medicine Physician in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.

Verify at the official NPI Registry.