Individual provider Active NPI

Beth Lo, MD

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1487707212
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A86564 Issued in CA
Practice address
1501 Westcliff Dr Ste 225
Newport Beach, CA 92660-5541
Phone
(949) 999-2945
Fax
(828) 372-4525
NPI assigned
Jan 18, 2007
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A86564 CA
Neurology Physician 2084N0400X A86564 CA Primary

Addresses

Primary practice location

1501 Westcliff Dr Ste 225
Newport Beach, CA 92660-5541

Mailing address

1501 Westcliff Dr Ste 225
Newport Beach, CA 92660-5541
Phone (949) 999-2945

Other identifiers 2

IdentifierTypeStateIssuer
A86564OtherCACA MEDICAL LICENSE
BL8774122OtherCADEA

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
I20070831000441 CA Practitioner - Neurology 8325131626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1501 Westcliff Dr
Suite 225
Newport Beach, CA 92660-5541
Phone (949) 999-7944

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86564CAMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Lo, M.D., Inc. Neurology CurrentSince Nov 19, 2020 Accepting new patients
Rem Medical Scottsdale LLC Past Accepting new patients
University of California Irvine PastSince Jan 17, 2021 Accepting new patients

Locations

1501 Westcliff Dr
Ste 225
Newport Beach, CA 92660
Phone (949) 999-2945

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, 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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1487707212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WESTCLIFF DR STE 225",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605541",
            "telephone_number": "949-999-2945",
            "fax_number": "828-372-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTCLIFF DR STE 225",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605541",
            "telephone_number": "949-999-2945",
            "fax_number": "828-372-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-02-16",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A86564",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A86564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A86564",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "BL8774122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.