Active NPI
Cynthia Arata Lo, O.D.
- Optometrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13295
- Practice address
- 12461 W Washington Blvd
Los Angeles, CA 90066-5511 - Phone
- (310) 390-6287
- NPI assigned
- Jul 6, 2007
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13295 | CA | Primary |
Addresses
Primary practice location
12461 W Washington Blvd
Los Angeles, CA 90066-5511
Mailing address
5792 Shirl St
Cypress, CA 90630-3325
Phone (714) 220-8698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTAN - WY5748 | Other | CA | MEDICARE PTAN |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8205 Santa Monica Blvd
Suite 15
West Hollywood, CA 90046-5963
Phone (323) 650-0337
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Steven T Klein OD & Kimberly Plattner OD a Professional Corporation | Optometrist | Past | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients | |
| Mark a. Chung, O.D., a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
681 Encinitas Blvd
Ste 302
Encinitas, CA 92024
Phone (760) 436-1877
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
27271 Las Ramblas
Ste 200
Mission Viejo, CA 92691
Phone (949) 651-7236
11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555
8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337
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.
-
- Optometrist
- San Diego, CA
- NPI 1356813711
-
- Eyewear Supplier
- Riverside, CA
- NPI 1366598120
-
- Optometrist
- West Hollywood, CA
- NPI 1861800997
-
- Optometrist
- San Diego, CA
- NPI 1861529703
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1073711461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5792 SHIRL ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303325",
"telephone_number": "714-220-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12461 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900665511",
"telephone_number": "310-390-6287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "CYNTHIA",
"middle_name": "ARATA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-06",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PTAN - WY5748",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.