Individual provider Active NPI

John J.K. Loh, M.D.

  • Radiation Oncology Physician
  • Laguna Woods, CA
National Provider Identifier
1114197472
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
58968 Issued in MN
Practice address
4009 Calle Sonora Oeste Unit 3E
Laguna Woods, CA 92637-3252
Phone
(315) 491-3997
NPI assigned
Mar 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A36765 CA
Radiation Oncology Physician 2085R0001X 144774 NY
Radiation Oncology Physician 2085R0001X 4301042942 MI
Radiation Oncology Physician 2085R0001X 58968 MN Primary

Addresses

Primary practice location

4009 Calle Sonora Oeste Unit 3E
Laguna Woods, CA 92637-3252

Mailing address

4009 Calle Sonora Oeste Unit 3E
Laguna Woods, CA 92637-3252
Phone (315) 491-3997

Other identifiers 1

IdentifierTypeStateIssuer
02985422MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A36765CAMDRadiation Oncology Physician
36765CAMDSpeech-Language Pathologist
1419SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hill Radiation Oncology Radiation Oncology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jloh236941@direct.centracare.com
  • Direct secure messaging: jloh@ampofny.medentdirect.com
  • Direct secure messaging: john.loh@avera.sdhealthlink.net
  • Direct secure messaging: jloh48011@enloedirect.org

Organizations & group practices 1

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114197472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 CALLE SONORA OESTE UNIT 3E",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373252",
            "telephone_number": "315-491-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 CALLE SONORA OESTE UNIT 3E",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373252",
            "telephone_number": "315-491-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOH",
        "first_name": "JOHN",
        "middle_name": "J.K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A36765",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "144774",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301042942",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "58968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02985422",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.