Active NPI
William Joseph Lolo, D.P.M.
- Podiatrist
- San Marcos, CA
National Provider Identifier
1366788440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2547
- Practice address
- 1030 La Bonita Drive
Suite Number 346
San Marcos, CA 92078 - Phone
- (760) 744-7307
- NPI assigned
- Dec 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2547 | CA | Primary |
Addresses
Primary practice location
1030 La Bonita Drive
Suite Number 346
San Marcos, CA 92078
Mailing address
1030 La Bonita Drive
Suite Number 346
San Marcos, CA 92078
Phone (760) 744-7307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2547 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355788800000",
"number": "1366788440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 LA BONITA DRIVE",
"address_2": "SUITE NUMBER 346",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "92078",
"telephone_number": "760-744-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 LA BONITA DRIVE",
"address_2": "SUITE NUMBER 346",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "92078",
"telephone_number": "760-744-7307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOLO",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-18",
"last_updated": "2012-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.