Active NPI
John J.K. Loh, M.D.
- Radiation Oncology Physician
- Laguna Woods, CA
National Provider Identifier
1114197472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 58968
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02985422 | Medicaid | NY |
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A36765 | CA | MD | Radiation Oncology Physician |
| 36765 | CA | MD | Speech-Language Pathologist |
| 1419 | SD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hill Radiation Oncology | Radiation Oncology | Past | Accepting new patients |
Interoperability endpoints
- jloh236941@direct.centracare.com
- jloh@ampofny.medentdirect.com
- john.loh@avera.sdhealthlink.net
- 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.
-
- Radiation Oncology Physician
- Syracuse, NY
- NPI 1811938798
Radiation Oncology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.