Jennifer S Lo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 15243 Issued in CA

Practice address

462 W Napa St Ste a
Sonoma, CA 95476-6519

Phone

(707) 935-5600

Fax

(707) 935-5606

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noah D Weiss MD IncGroup PAC ID 8022277615, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jlo300183@hisp.ehr.sutterhealth.org

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.

• Noah D. Weiss, MD Inc

  • Orthopaedic Surgery Physician
  • Sonoma, CA
  • NPI 1700150794
  Medicare reassignment Care Compare group NPD
• Sonoma Valley Health Care District

  • General Acute Care Hospital
  • Sonoma, CA
  • NPI 1710063870
  NPD (past)

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

• Sonoma Valley Health Care District

  • General Acute Care Hospital
  • Sonoma, CA
  • NPI 1710063870
  Care Compare affiliation

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1467599290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 24687 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911854687",
            "telephone_number": "707-935-5600",
            "fax_number": "707-935-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 W NAPA ST STE A",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766519",
            "telephone_number": "707-935-5600",
            "fax_number": "707-935-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rowland Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455041",
            "country_code": "US",
            "telephone_number": "415-878-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 15243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA 15243",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Maria Lewis Pignataro, M.F.T.
• Michael E. Lipson, M.D.
• Sienna Lish, DPT
• Yong Qing Liu, M.D.
• Kumar Sankara Lloyd, CAMTC
• Carol Anne Locke, M.D.
• Longs Drug Stores California LLC
• Jeffrey Carl Lopes, DMD
• Frank Joseph Lucchetti, ED.D.
• Michael Mabanglo, LCSW

• Physician Assistant in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.