Michelle A Loftis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A66222 Issued in CA

Practice address

1205 Altschul Ave
Menlo Park, CA 94025-6603

Phone

(408) 664-6816

NPI assigned

Apr 28, 2006

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mloftis228855@hisp.ehr.sutterhealth.org

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.

• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)
• Good Samaritan Hospital, L.P.

  dba Good Samaritan Hospital

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1851358022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR # 421",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256805",
            "telephone_number": "408-664-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 ALTSCHUL AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256603",
            "telephone_number": "408-664-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A66222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Liu
• Alyssa Liusie
• Robie Grove Livingstone, MPT
• Theresa Lo, M.D.
• Dorene Loew, PH.D.
• Gabriel Angelo Lonero, MSW
• Melinda Ann Longaker, MD
• Longs Drug Stores California LLC (CVS Pharmacy #09330)
• Martha S Losch, M.D.
• Gabrielle Lou, PSYD

• Pediatrics Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.