Individual provider Active NPI

Danielle Monica Lo, M.D.

  • Ophthalmology Physician
  • Hacienda Heights, CA
National Provider Identifier
1164878948
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A168982 Issued in CA
Practice address
1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827
Phone
(626) 912-6888
NPI assigned
May 10, 2016
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A168982 CA Primary

Addresses

Primary practice location

1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827

Mailing address

1850 S Azusa Ave Ste 107
Hacienda Heights, CA 91745-6827
Phone (626) 912-6888

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200709000000 CA Practitioner - Ophthalmology 7214222462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puente Hills Eye Care Center, Inc.Group PAC ID 3870765647, 3 clinicians

Practice addresses (Care Compare)

1850 S Azusa Ave
Suite 107
Hacienda Heights, CA 91745-6827
Phone (626) 912-6888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A168982CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Hills Eye Care Center, Inc. Ophthalmology CurrentSince Dec 30, 2024 Accepting new patients
Puente Hills Eye Care Center, Inc. Ophthalmology CurrentSince Jul 1, 2020 Accepting new patients
Catharine Lee, O.D., Inc. PastSince Jul 1, 2020 Accepting new patients

Locations

1850 S Azusa Ave
Ste 107
Hacienda Hts, CA 91745
Phone (626) 812-6888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1164878948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 107",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-912-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 107",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-912-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "DANIELLE",
        "middle_name": "MONICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A168982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.