Active NPI
Elsbeth Candice Lo, MD
- Family Medicine Physician
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD179475
- Practice address
- 10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705 - Phone
- (503) 659-0880
- Fax
- (503) 513-7425
- NPI assigned
- Mar 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD179475 | OR | Primary |
| Family Medicine Physician | 207Q00000X | A132878 | CA |
Addresses
Primary practice location
10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705
Mailing address
10151 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5705
Phone (503) 659-0880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1151 N Adair St
Cornelius, OR 97113-8900
Phone (503) 359-5564
2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000
Hospital & facility affiliations
- Hillsboro Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132878 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P | Current | Accepting new patients | |
| Virginia Garcia Memorial Health Center | Current | Accepting new patients | |
| Virginia Garcia Memorial Health Center | Past | Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000
1151 N Adair St
Cornelius, OR 97113
Phone (503) 352-8552
226 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 601-7385
2600 Center St NE
Salem, OR 97301
Phone (503) 945-2800
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Cornelius, OR
- NPI 1679528012
-
- Psychiatric Hospital
- Salem, OR
- NPI 1508802489
-
- Federally Qualified Health Center (FQHC)
- McMinnville, OR
- NPI 1295997575
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1316280225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 100",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "503-659-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 SE SUNNYSIDE RD STE 100",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155705",
"telephone_number": "503-659-0880",
"fax_number": "503-513-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "ELSBETH",
"middle_name": "CANDICE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD179475",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A132878",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.