Individual provider Active NPI

Vincent C. Lo, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1275640864
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C52099 Issued in CA
Practice address
7601 Hospital Dr
Ste 103
Sacramento, CA 95823-5408
Phone
(916) 681-1600
Fax
(916) 688-0226
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C52099 CA Primary

Addresses

Primary practice location

7601 Hospital Dr
Ste 103
Sacramento, CA 95823-5408

Mailing address

7601 Hospital Dr
Ste 103
Sacramento, CA 95823-5408
Phone (916) 681-1600

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
I20051208000369 CA Practitioner - Family Practice 6204857022 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52099CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Community Care CurrentSince Oct 20, 2017 Accepting new patients
Dignity Health Current Accepting new patients
Dignity Health CurrentSince Oct 20, 2017 Accepting new patients
Geriatrics Long Term Care Medical Corporation CurrentSince Aug 1, 2022 Accepting new patients

Locations

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

7601 Hospital Dr
Ste 103
Sacramento, CA 95823
Phone (916) 681-1600

2333 W March Ln
#A1
Stockton, CA 95207
Phone (209) 475-8144

6940 Pacific Ave
Stockton, CA 95207
Phone (209) 477-0817

Organizations & group practices 4

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1275640864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR",
            "address_2": "STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-681-1600",
            "fax_number": "916-688-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 HOSPITAL DR",
            "address_2": "STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235408",
            "telephone_number": "916-681-1600",
            "fax_number": "916-688-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "VINCENT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C52099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.