Individual provider Active NPI

Esteban Daniel Lovato, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1376610923
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75190 Issued in CA
Practice address
3022 International Blvd Ste 312
Oakland, CA 94601-2226
Phone
(510) 261-1677
Fax
(510) 261-1650
NPI assigned
Nov 29, 2006
Last updated
Sep 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G75190 CA Primary

Addresses

Primary practice location

3022 International Blvd Ste 312
Oakland, CA 94601-2226

Mailing address

3022 International Blvd Ste 312
Oakland, CA 94601-2226
Phone (510) 261-1677

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
I20110513000628 CA Practitioner - Internal Medicine 0547446262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3022 International Blvd
Suite 312
Oakland, CA 94601-2226
Phone (510) 261-1677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as individual
Quality
89.74
Improvement activities
40
Cost
94.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75190CAMDPharmacist
G75190CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Loma Medical Office, Inc. Internal Medicine CurrentSince Feb 27, 2011 Accepting new patients
La Loma Medical Group, Inc. 2 Internal Medicine Past Accepting new patients

Locations

3022 International Blvd
Ste 312
Oakland, CA 94601
Phone (510) 261-1677

1339 S Madison St
Stockton, CA 95206
Phone (209) 460-1900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFHIAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FFHIAD/Endpoint/FFHIAD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1376610923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 INTERNATIONAL BLVD STE 312",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012226",
            "telephone_number": "510-261-1677",
            "fax_number": "510-261-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 INTERNATIONAL BLVD STE 312",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012226",
            "telephone_number": "510-261-1677",
            "fax_number": "510-261-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVATO",
        "first_name": "ESTEBAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.