Active NPI
Theresa Lo, M.D.
- Anesthesiology Physician
- Menlo Park, CA
National Provider Identifier
1598055337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A123351
- Practice address
- 1422 El Camino Real
Menlo Park, CA 94025-4110 - Phone
- (650) 903-9500
- Fax
- (650) 903-9900
- NPI assigned
- Apr 13, 2011
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | A123351 | CA | Primary |
Addresses
Primary practice location
1422 El Camino Real
Menlo Park, CA 94025-4110
Mailing address
1422 El Camino Real
Menlo Park, CA 94025-4110
Phone (650) 903-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160707002155 | CA | Practitioner - Anesthesiology | 0648562892 | Reassigns benefits to 1 organization |
| I20200513002684 | NC | Practitioner - Anesthesiology | 0648562892 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131
Hospital & facility affiliations
- El Camino Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123351 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Anesthesia, PLLC | Current | Accepting new patients | |
| El Camino Anesthesia | Anesthesiology | Current | Accepting new patients |
| Duke University Health System, Inc. | Past | Accepting new patients |
Locations
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
525 South Dr
Ste 211
Mountain View, CA 94040
Phone (408) 495-5770
2490 Hospital Dr
Mountain View, CA 94040
Phone (650) 261-6861
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Durham, NC
- NPI 1821094509
Hospital & facility affiliations 3
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": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461369600000",
"number": "1598055337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 EL CAMINO REAL",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254110",
"telephone_number": "650-903-9500",
"fax_number": "650-903-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 EL CAMINO REAL",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254110",
"telephone_number": "650-903-9500",
"fax_number": "650-903-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "THERESA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2016-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A123351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.