NPIMap

Individual provider Active NPI

Andrew Yung Lo

  • Student in an Organized Health Care Education/Training Program
  • Sonora, CA
National Provider Identifier
1790131829
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
690 Guzzi LN Ste C&D
Sonora, CA 95370-5289
Phone
(209) 536-3820
Fax
(209) 536-3551
NPI assigned
May 7, 2016
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

690 Guzzi LN Ste C&D
Sonora, CA 95370-5289

Mailing address

6505 Brentfield CT
Dallas, TX 75248-2273
Phone (213) 880-1337

Other practice location 1

6505 Brentfield Ct
Dallas, TX 75248-2273
Phone (213) 880-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708000434 CA Practitioner - Internal Medicine 9335413756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

690 Guzzi LN
Suite Candd
Sonora, CA 95370-5289
Phone (209) 536-3820

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Jun 1, 2021 Accepting new patients
Sonora Community Hospital CurrentSince Jun 1, 2021 Accepting new patients
Sonora Community Hospital Current Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

690 Guzzi Ln
Ste C
Sonora, CA 95370
Phone (209) 533-0333

690 Guzzi Ln
Ste Cd
Sonora, CA 95370
Phone (209) 536-3820

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1462579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1790131829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 BRENTFIELD CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752482273",
            "telephone_number": "213-880-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 GUZZI LN STE C&D",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705289",
            "telephone_number": "209-536-3820",
            "fax_number": "209-536-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 Brentfield Ct",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752482273",
            "country_code": "US",
            "telephone_number": "213-880-1337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LO",
        "first_name": "ANDREW",
        "middle_name": "YUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-07",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.