Individual provider Active NPI

Siang L. Lo, DO

  • Family Medicine Physician
  • Pacific Grove, CA
National Provider Identifier
1821146606
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6730 Issued in CA
Practice address
621 Forest Ave
Pacific Grove, CA 93950-4264
Phone
(831) 649-1011
Fax
(831) 373-8201
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6730 CA Primary

Addresses

Primary practice location

621 Forest Ave
Pacific Grove, CA 93950-4264

Mailing address

621 Forest Ave
Pacific Grove, CA 93950
Phone (831) 649-1011

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
I20081021000601 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1850459710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Grove Family Medicine IncGroup PAC ID 4183877293, 2 clinicians

Practice addresses (Care Compare)

621 Forest Ave
Pacific Grove, CA 93950-4264
Phone (831) 649-1011

Hospital & facility affiliations

  • Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
  • Central Coast Vna & Hospice, Inc Home health agency, Monterey, CA, CCN 057002
  • Prohealth Home Care, Inc Home health agency, San Jose, CA, CCN 058415
  • Continuum Care Hospice LLC Hospice, Concord, CA, CCN 751626
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Merit-based Incentive Payment System (MIPS)

Final score
56.32 of 100Reported as individual
Quality
86.18
Improvement activities
0
Cost
72.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15
Removal or shaving of skin growth13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6730CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Grove Family Medicine, Inc. Family Medicine CurrentSince Feb 28, 2012 Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

Locations

621 Forest Ave
Pacific Grove, CA 93950
Phone (831) 372-2900

Interoperability endpoints

  • Direct secure messaging: siang.lo@12750807302148.direct.elationemr.com

Organizations & group practices 2

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 6

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1821146606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 FOREST AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "93950",
            "telephone_number": "831-649-1011",
            "fax_number": "831-373-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 FOREST AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939504264",
            "telephone_number": "831-649-1011",
            "fax_number": "831-373-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "SIANG",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

Verify at the official NPI Registry.