Active NPI
David Lo, DO
- Emergency Medicine Physician
- Farmington Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB10889200
- Practice address
- 27810 Grand River Ave
Farmington Hills, MI 48336-5916 - Phone
- (470) 816-1301
- NPI assigned
- Mar 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 20A18679 | CA | |
| Emergency Medicine Physician | 207P00000X | 5101027279 | MI | |
| Emergency Medicine Physician | 207P00000X | 25MB10889200 | NJ | Primary |
Addresses
Primary practice location
27810 Grand River Ave
Farmington Hills, MI 48336-5916
Mailing address
3829 Boulder Canyon Dr
Castro Valley, CA 94552-5423
Phone (510) 709-9789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0863238 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18679 | CA | MD | Emergency Medicine Physician |
| 18679 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hollywood Presbyterian Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| Apex Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Golden State Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients |
Locations
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1770886558
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
-
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1861996340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3829 BOULDER CANYON DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945525423",
"telephone_number": "510-709-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27810 GRAND RIVER AVE",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365916",
"telephone_number": "470-816-1301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LO",
"first_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-20",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A18679",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101027279",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10889200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0863238",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.