Individual provider Active NPI

David Lo, DO

  • Emergency Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1861996340
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB10889200 Issued in NJ
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

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0863238MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210819003508 CA Practitioner - Emergency Medicine 8426468174 Reassigns benefits to 4 organizations
I20230515000731 MI Practitioner - Emergency Medicine 8426468174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18679CAMDEmergency Medicine Physician
18679CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hollywood Presbyterian Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jul 15, 2025 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Aug 1, 2021 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jun 15, 2021 Accepting new patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jun 22, 2021 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 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.

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

Verify at the official NPI Registry.