Individual provider Active NPI

Sunny Lo, D.O.

  • Gastroenterology Physician
  • Arcadia, CA
National Provider Identifier
1891053187
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A13069 Issued in CA
Practice address
612 W Duarte Rd Ste 601
Arcadia, CA 91007-9240
Phone
(818) 659-5887
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 20A13069 CA Primary

Addresses

Primary practice location

612 W Duarte Rd Ste 601
Arcadia, CA 91007-9240

Mailing address

723 S Garfield Ave
Ste 202
Alhambra, CA 91801-4429
Phone (818) 659-5887

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
I20180524001417 CA Practitioner - Gastroenterology 0042519894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Western University of Health Sciences College of Dental Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 W Duarte Rd
Suite 601
Arcadia, CA 91007-9240
Phone (818) 659-5887

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy261
Upper gastrointestinal (GI) endoscopy for acid reflux359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A13069CAMDGastroenterology Physician
13069CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Lo DO a Professional Corporation Gastroenterology CurrentSince Feb 10, 2022 Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

723 S Garfield Ave
Ste 202
Alhambra, CA 91801
Phone (818) 659-5887

612 W Duarte Rd
Ste 601
Arcadia, CA 91007
Phone (626) 445-2844

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: slo588482@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sunny.lo@lbgastro.directbygreenway.com

Organizations & group practices 3

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 2

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1891053187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE",
            "address_2": "STE 202",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014429",
            "telephone_number": "818-659-5887",
            "fax_number": "701-409-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD STE 601",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079240",
            "telephone_number": "818-659-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "SUNNY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A13069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.