Individual provider Active NPI

Charles Yin-Yat Lo, MD

  • Surgery Physician
  • San Francisco, CA
National Provider Identifier
1811978604
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00A519440 Issued in CA
Practice address
818 Jackson Street
Suite 102
San Francisco, CA 94133-4849
Phone
(415) 391-9993
Fax
(415) 291-9993
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00A519440 CA Primary

Addresses

Primary practice location

818 Jackson Street
Suite 102
San Francisco, CA 94133-4849

Mailing address

818 Jackson St Ste 102
San Francisco, CA 94133-4849
Phone (415) 391-9993

Other identifiers 1

IdentifierTypeStateIssuer
00A519440MedicaidCA

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
I20041102000513 CA Practitioner - General Surgery 9436111457 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 391-9993

890 Jackson St
San Francisco, CA 94133-4848
Phone (415) 391-9993

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Hernia repair - groin (open)30
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision27
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A519440CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. PastSince Oct 27, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: clo51346@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1811978604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 JACKSON ST STE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334849",
            "telephone_number": "415-391-9993",
            "fax_number": "415-291-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 JACKSON STREET",
            "address_2": "SUITE 102",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334849",
            "telephone_number": "415-391-9993",
            "fax_number": "415-291-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "CHARLES",
        "middle_name": "YIN-YAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00A519440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A519440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.