Organization Active NPI

William K Lo MD a Medical Corporation

  • Anesthesiology Physician
  • San Diego, CA
National Provider Identifier
1760646558
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G29815 Issued in CA
Legal business name
WILLIAM K LO MD A MEDICAL CORPORATION
Practice address
6665 Alvarado Rd
San Diego, CA 92120-0000
Phone
(619) 229-3113
Fax
(619) 229-3275
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. William K Lo, MDNPI 1306882493
Title
President
Phone
(858) 495-0971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X G29815 CA Primary

Addresses

Primary practice location

6665 Alvarado Rd
San Diego, CA 92120-0000

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (877) 747-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081121000728 CA Part B Supplier - Clinic/Group Practice 3274693171 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA; Escondido, CA; La Mesa, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

770 Washington St
Ste 101
San Diego, CA 92103
Phone (619) 229-9530

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1760646558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "877-747-5050",
            "fax_number": "877-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 ALVARADO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921200000",
            "telephone_number": "619-229-3113",
            "fax_number": "619-229-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM K LO MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-495-0971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G29815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.